Individual
GINI MARIE CRUZ MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
BO CAMINO NUEVO, YABUCOA, PR 00767
(939) 499-1550
Mailing address
HC 1 BOX 4024, YABUCOA, PR 00767-9621
(787) 499-1550
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
22484
PR
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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