Mika Medical Corp

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

MIKA MEDICAL CORP

Practice address

Bo Almirante Norte
Carr 160 KM 4.5
Vega Baja, PR 00646

Phone

(787) 654-8465

NPI assigned

Feb 15, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Magin I Casanova, MDNPI 1568651560

Title

Presidente

Phone

(787) 678-0232

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Magin Inocencio Casanova, MD

  • General Practice Physician
  • Vega Baja, PR
  • NPI 1568651560
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1676419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676419200000",
    "number": "1508563990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PASEO LOS CORALES I",
            "address_2": "564 CALLE GOLFO DE MEXICO",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "00646",
            "telephone_number": "787-678-0232",
            "fax_number": "787-654-7444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BO ALMIRANTE NORTE",
            "address_2": "CARR 160 KM 4.5",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "00646",
            "telephone_number": "787-654-8465"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Urb Monte Carlo",
            "address_2": "121 calle Marhinal Ste 3",
            "address_purpose": "LOCATION",
            "city": "Vega Baja",
            "state": "PR",
            "postal_code": "00693",
            "country_code": "US",
            "telephone_number": "787-654-8840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIKA MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-15",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-09",
        "status": "A",
        "authorized_official_last_name": "CASANOVA",
        "authorized_official_first_name": "MAGIN",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-678-0232",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Domingo A Mendez, MD
• Jose A Mercado
• Yasmin Mercado, ND
• Mi Alicia LLC
• Mia Ambulance Inc
• Mika Medical.Inc
• Mindful Care LLC
• Mini S Steps CSP
• Mini'S Steps
• Loida Miranda, MD

• General Practice Physician in Vega Baja, PR
• Providers in Vega Baja, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.