Individual
RAUL MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
CALLE PRINCIPAL J23 VISTAS DE LUQUILLO, LUQUILLO, PR 00773
(787) 889-0039
Mailing address
PMB 192 BOX 70011, FAJARDO, PR 00738
(787) 889-0039
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
TC AMB 307
PR
Other
Enumeration date
11/05/2008
Last updated
01/13/2009
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