Provider Demographics
NPI:1992954812
Name:MEDIXPRESS CLINICS CORPORATION
Entity type:Organization
Organization Name:MEDIXPRESS CLINICS CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ARISTIDES
Authorized Official - Middle Name:
Authorized Official - Last Name:COLON-PENA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-595-2880
Mailing Address - Street 1:PICAFLOR #368
Mailing Address - Street 2:URB. CAMINO DEL SUR
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00716-0000
Mailing Address - Country:US
Mailing Address - Phone:787-595-2880
Mailing Address - Fax:
Practice Address - Street 1:368 CALLE PICAFLOR
Practice Address - Street 2:URB. CAMINO DEL SUR
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00716-2814
Practice Address - Country:US
Practice Address - Phone:787-595-2880
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-16
Last Update Date:2008-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center