Organization
MIKA MEDICAL.INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAGIN INOCENCIO CASANOVA MD (MEDICAL DIRECTOR)
(787) 654-8465
Entity
Organization
Contact information
Practice address
CARR 160 KM 4.5 BO ALMIRANTE NORTE, VEGA BAJA, PR 00693
(787) 654-8465
Mailing address
3101 CONDOMINIO ROYAL PALM, VEGA ALTA, PR 00692
(787) 678-0232
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
16906
PR
Other
Enumeration date
11/06/2009
Last updated
01/14/2010
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