Individual
JAIME MEDINA MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, JD
Contact information
Practice address
CII 32 JARDINES DEL CARIBE, FF33, PONCE, PR 00728-2609
(787) 290-0022
(787) 842-5342
Mailing address
CII 32 JARDINES DEL CARIBE, FF33, PONCE, PR 00728-2609
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
3685
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3685
SOCIAL WORK PERMANENT LICENCE
PR
Enumeration date
06/29/2017
Last updated
06/29/2017
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