Medco LLC

Primary specialty

Corporate Health Clinic/CenterTaxonomy code 261QC1800X

Legal business name

MEDCO LLC

Practice address

Hospital Wilma N Vazquez Car #2 KM 39.5
Suite 104
Vega Baja, PR 00693-0069

Phone

(787) 237-5901

NPI assigned

Aug 30, 2021

Organization subpart

No

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

Authorized official

Name

Ida Cordero Gonzalez, MD

Title

President Treasurer

Phone

(787) 237-5901

Specialties & licenses 1

Addresses

Other names 1

• Owner Other name

Practitioners 1

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

• Ida Regina Cordero, M.D.

  • General Practice Physician
  • Vega Baja, PR
  • NPI 1538343306
  NPD

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

{
    "created_epoch": "1630281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630281600000",
    "number": "1659048338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3085",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "006923085",
            "telephone_number": "787-237-5901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HOSPITAL WILMA N VAZQUEZ CAR #2 KM 39.5",
            "address_2": "SUITE 104",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006930069",
            "telephone_number": "787-237-5901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-30",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-12",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "IDA",
        "authorized_official_middle_name": "CORDERO",
        "authorized_official_title_or_position": "PRESIDENT TREASURER",
        "authorized_official_telephone_number": "787-237-5901",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QC1800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Corporate Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Owner",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Abigail Martinez, PT
• Bryan Gaetan Martinez
• Julyssa Naomi Martinez, MS
• Orlando Martinez, CPHT
• Diane Matos, PSYD
• Medex Medical Express Transportation Services
• Medi-K Clinic
• Daniela Cristina Medina-Camacho, MS
• Evaristo Jaime Medina-Cucurella, M.D.
• Lucery Medina-Laureano, PHD

• Corporate Health Clinic/Center in Vega Baja, PR
• Providers in Vega Baja, PR by specialty
• Corporate Health Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.