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Individual

DR. ANTONIO MEDINA LOPEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
CALLE LOPE HORMAZABAL # 40 URB MADRID, JUNCOS, PR 00777-0000
(787) 734-6020
(787) 737-0006
Mailing address
40 CALLE LOPEZ HORMAZABAL, JUNCOS, PR 00777-3105
(787) 734-6020
(787) 734-0006

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
13083
PR
207V00000X
Obstetrics & Gynecology Physician
Primary
13083
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ACAA
1605232
PR
01
AMERICAN HEALTH
1195
PR
01
GLOBAL HEATLH
12613083
PR
01
HUMANA REFORMA
7920028
PR
01
IMC
7846
PR
01
LACRUZ AZUL DE PR
061866
PR
01
MMM
995824
PR
01
PREFERRED HEALTH PLA
209516
PR
01
TRIPLE S
20998
PR
Enumeration date
02/13/2007
Last updated
01/14/2026
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