Individual
DR. ENRIQUE MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
47 CALLE DR SANTIAGO VEVE, SAN GERMAN, PR 00683-4113
(787) 264-0396
(787) 264-0396
Mailing address
PO BOX 275, SAN GERMAN, PR 00683-0275
(787) 264-0396
(787) 264-0396
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
10090
PR
208000000X
Pediatrics Physician
Primary
010090
PR
Other
Enumeration date
04/11/2007
Last updated
09/14/2016
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