Individual
DR. LUIS S MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3100 SW 62ND AVE, RADIOLOGY DEPARTMENT, MIAMI, FL 33155-3009
(305) 662-8293
(305) 667-8689
Mailing address
3100 SW 62ND AVE, RADIOLOGY DEPARTMENT, MIAMI, FL 33155-3009
(305) 662-8293
(305) 667-8689
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
ME061485
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
257799200
—
FL
Enumeration date
07/24/2006
Last updated
07/24/2013
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