# MEDINA GONZALEZ DERMATOLOGY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225928641
- **Authorized official:** DR. ANDREA CRISTINA MEDINA GONZALEZ MD (PRESIDENT)
- **Authorized official phone:** (787) 464-2544

## Contact information

- **Practice address:** D80 CALLE C, DORADO, PR 00646-2012
- **Practice address phone:** (787) 400-1616
- **Mailing address:** 2765 AVE HOSTOS STE 235, MAYAGUEZ, PR 00682-6390
- **Mailing address phone:** (787) 464-2544

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/07/2025
- **Last updated:** 07/07/2025