Individual
MR. MIGUEL ANGEL MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NURSE
Contact information
Practice address
CENTRO SALUD MENTAL DE MAYAGUEZ, 410 AVE HOSTOS SUITE 7, MAYAGUEZ, PR 00682-1522
(787) 833-0663
(787) 833-1371
Mailing address
BARRIO MONTE GRANDE, CALLE MARGARITA 207, CABO ROJO, PR 00623
(787) 832-2325
(787) 833-1371
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
026696
PR
Other
Enumeration date
05/11/2007
Last updated
07/08/2007
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