Individual
KEVIN OMAR MEDINA GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
HC 2 BOX 7904, BAJADERO, PR 00616-9902
(939) 243-4157
Mailing address
HC 2 BOX 7904, BAJADERO, PR 00616-9902
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8691
PR
Other
Enumeration date
05/22/2026
Last updated
05/22/2026
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