Organization
MEDIKO IMAGING INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ABNER GONZALEZ COSTAS SR. (ADMINISTRATOR)
(787) 743-1563
Entity
Organization
Contact information
Practice address
AVENUE JESUS T. PINEIRO, #25, LAS PIEDRAS, PR 00771
(787) 733-2353
(787) 733-2353
Mailing address
PO BOX 8729, CAGUAS, PR 00726-8729
(787) 743-1563
(787) 745-9637
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
08/21/2006
Last updated
09/14/2018
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