Individual
MR. RAMON LUIS MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014-1838
(540) 853-0222
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
161637
GA
367500000X
Certified Registered Nurse Anesthetist
Primary
0024179663
VA
367500000X
Certified Registered Nurse Anesthetist
RN161637
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
951483774D
—
GA
05
—
951483774E
—
GA
Enumeration date
03/31/2006
Last updated
02/10/2025
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