Medi-K Clinic

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

16991 Issued in PR

Legal business name

MEDI-K CLINIC

Practice address

Calle 4 C 8 Urbanizacion Brazilia
Vega Baja, PR 00693

Phone

(787) 237-5901

NPI assigned

May 18, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Ida Regina Cordero, M.D.NPI 1538343306

Title

Presidenta

Phone

(787) 237-5901

Specialties & licenses 1

Addresses

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 (past) Authorized official

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

{
    "created_epoch": "1274140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274832000000",
    "number": "1811216799",
    "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",
            "fax_number": "787-807-1288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE 4 C 8 URBANIZACION BRAZILIA",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "00693",
            "telephone_number": "787-237-5901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDI-K CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-18",
        "last_updated": "2010-05-26",
        "status": "A",
        "authorized_official_last_name": "CORDERO",
        "authorized_official_first_name": "IDA",
        "authorized_official_middle_name": "REGINA",
        "authorized_official_title_or_position": "PRESIDENTA",
        "authorized_official_telephone_number": "787-237-5901",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "PR",
            "license": "16991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julyssa Naomi Martinez, MS
• Orlando Martinez, CPHT
• Diane Matos, PSYD
• Medco LLC
• Medex Medical Express Transportation Services
• Daniela Cristina Medina-Camacho, MS
• Evaristo Jaime Medina-Cucurella, M.D.
• Lucery Medina-Laureano, PHD
• Manuel Medina, M.D.
• Ubaldo Medina, M.D.

• 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 May 26, 2010; 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.