Individual
DR. NOEMI MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
18 CALLE MUNOZ RIVERA, VILLALBA, PR 00766
(787) 847-1234
Mailing address
E33 CALLE 3, URB EL MADRIGAL, PONCE, PR 00730-1415
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
724
PR
Other
Enumeration date
02/21/2017
Last updated
02/21/2017
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