Individual
ASTRID ROCIO SOARES MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2 CARR PUERTO RICO, AV HOSTOS 410 BO SABALOS SUITE 116, MAYAGUEZ, PR 00681-0000
(787) 381-7469
(787) 652-1833
Mailing address
100 E GAY ST UNIT 206, COLUMBUS, OH 43215-3169
(787) 717-8477
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
19660
PR
2086S0120X
Pediatric Surgery Physician
57.027307
OH
Other
Enumeration date
08/29/2016
Last updated
07/10/2019
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