Individual
ANGEL LUIS MEDINA ORTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
URB SANTA CLARA CALLE 5 #222, SAN LORENZO, PR 00754-9998
(787) 672-8753
Mailing address
URB SANTA CLARA CALLE 5 #222, SAN LORENZO, PR 00754-9998
(787) 672-8753
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
22601
PR
Other
Enumeration date
02/17/2022
Last updated
02/17/2022
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