| Mika Medical Corp | |
|
Bo Almirante Norte Carr 160 Km 4.5 Vega Baja PR 00646 | |
| (787) 654-8465 | |
| Not Available |
| Full Name | Mika Medical Corp |
|---|---|
| Speciality | General Practice |
| Location | Bo Almirante Norte, Vega Baja, Puerto Rico |
| Authorized Official Name and Position | Magin I Casanova (PRESIDENTE) |
| Authorized Official Contact | 7876780232 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mika Medical Corp Paseo Los Corales I 564 Calle Golfo De Mexico Dorado PR 00646 Ph: (787) 678-0232 | Mika Medical Corp Bo Almirante Norte Carr 160 Km 4.5 Vega Baja PR 00646 Ph: (787) 654-8465 |
| NPI Number | 1508563990 |
|---|---|
| Provider Enumeration Date | 02/15/2023 |
| Last Update Date | 02/15/2023 |
| Medicare PECOS PAC ID | 8022483197 |
|---|---|
| Medicare Enrollment ID | O20230608000133 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508563990 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Magin I Casanova |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1568651560 PECOS PAC ID: 2264516533 Enrollment ID: I20080226000001 |
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