Individual
JENNNYMAR MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
CARR#2 RAMAL 484, BO COCOS, QUEBRADILLAS, PR 00678
(787) 895-4583
(787) 895-4583
Mailing address
PO BOX 217, CASTANER, PR 00631-0217
(787) 895-4583
(787) 895-4583
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
14968
PR
Other
Enumeration date
07/25/2006
Last updated
04/19/2010
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