Healthcare Provider Details

I. General information

NPI: 1548188949
Provider Name (Legal Business Name): MEDICHEM CLINIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BO NARANJO CARR. 2 KM 137.4
AGUADA PR
00602
US

IV. Provider business mailing address

HC 58 BOX 14232
AGUADA PR
00602-9725
US

V. Phone/Fax

Practice location:
  • Phone: 787-376-2103
  • Fax:
Mailing address:
  • Phone: 787-376-2103
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. GIOMARELL FELICIANO MENDEZ
Title or Position: PRESIDENT
Credential: MD
Phone: 787-376-2103