Individual
GRACE D MEDESTOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
45 CALLE GARZOT, NAGUABO, PR 00718-2216
(787) 266-8400
(787) 266-8386
Mailing address
PO BOX 918, NAGUABO, PR 00718-0918
(787) 266-8400
(787) 266-8386
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
15229
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
37764301
—
PR
Enumeration date
06/04/2006
Last updated
12/22/2025
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