Individual
DANIELA CRISTINA MEDINA-CAMACHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
887 CALLE SAMA, VEGA BAJA, PR 00693-3509
(787) 243-0123
Mailing address
887 CALLE SAMA, VEGA BAJA, PR 00693-3509
(787) 243-0123
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
543996890
PASSPORT
PR
Enumeration date
01/26/2023
Last updated
01/26/2023
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