Organization
MEDIKO MEDICINA PRIMARIA CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS VANESSA PEREZ (DIRECTOR)
(787) 653-5353
Entity
Organization
Contact information
Practice address
HOSP HIMA, MEDICINA DE FAMILIA, CAGUAS, PR 00726-7589
(787) 653-5353
(787) 653-5364
Mailing address
PO BOX 7589, CAGUAS, PR 00725-7589
(787) 653-5353
(787) 653-5364
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2700373
HUMANA PRIVADO
PR
01
—
6250068
HUMANA GOLD PLUS
PR
Enumeration date
04/27/2007
Last updated
09/20/2018
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