Individual
FERNANDO MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DR.
Contact information
Practice address
CONDOMINIO LAS TORRES,, SUITE 6E, TORRE SUR, BAYAMON, PR 00959
(787) 384-4013
(787) 785-3985
Mailing address
CB-6, EUCALIPTO ST., RIOHONDO III,, BAYAMON, PR 00961
(787) 384-4013
(787) 785-3985
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
634
PR
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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