Individual
DR. JOSE A MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1738 CALLE AMARILLO, SUITE 207-B (BOX 16), SAN JUAN, PR 00926-3072
(787) 765-7248
(787) 765-3416
Mailing address
1738 CALLE AMARILLO, SUITE 207-B (BOX 16), SAN JUAN, PR 00926-3072
(787) 765-7248
(787) 765-3416
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
2008
PR
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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