Individual
MS. PATRICIA MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D. C.D.E.
Contact information
Practice address
345 AVE HOSTOS, MOPC VETERANS OUTPATIENT CLINIC, MAYAGUEZ, PR 00680-1507
(787) 834-6900
(787) 265-8809
Mailing address
ESTANCIAS DEL PARRA #127, LAJAS, PR 00667
(787) 473-8292
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
436406
PR
Other
Enumeration date
07/10/2006
Last updated
07/08/2007
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