Organization
MEDI-K CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IDA REGINA CORDERO M.D. (PRESIDENTA)
(787) 237-5901
Entity
Organization
Contact information
Practice address
CALLE 4 C 8 URBANIZACION BRAZILIA, VEGA BAJA, PR 00693
(787) 237-5901
Mailing address
PO BOX 3085, VEGA ALTA, PR 00692-3085
(787) 237-5901
(787) 807-1288
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
16991
PR
Other
Enumeration date
05/18/2010
Last updated
05/26/2010
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