Organization
MEDCO LLC
Active
Other names
Owner
Organization subpart
No
Provider details
NPI number
Authorized official
IDA CORDERO GONZALEZ MD (PRESIDENT TREASURER)
(787) 237-5901
Entity
Organization
Contact information
Practice address
HOSPITAL WILMA N VAZQUEZ CAR #2 KM 39.5, SUITE 104, VEGA BAJA, PR 00693-0069
(787) 237-5901
Mailing address
PO BOX 3085, VEGA ALTA, PR 00692-3085
(787) 237-5901
Taxonomy
Speciality
Code
Description
License number
State
261QC1800X
Corporate Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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