Individual
EMMANUEL MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
1666P
Contact information
Practice address
BARRIADA MARIN CALLE 5 NUMERO 29A, GUAYAMA, PR 00784
(787) 866-4436
Mailing address
BUZON 899 16, BO CORAZON, GUAYAMA, PR 00784
(787) 866-4436
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
TC AMB 522
PR
Other
Enumeration date
05/18/2007
Last updated
04/02/2008
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