Individual
JUAN I MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
735 PONCE DE LEON AVE, SUITE 609, SAN JUAN, PR 00917-5028
(787) 753-8533
(787) 758-0373
Mailing address
735 PONCE DE LEON AVE, SUITE 609, SAN JUAN, PR 00917-5028
(787) 753-8533
(787) 758-0373
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
3623
PR
Other
Enumeration date
07/18/2006
Last updated
09/04/2014
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