Individual
GABRIEL SEBASTIAN MEDINA ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
STUDENT
Contact information
Practice address
PO BOX 365067, SAN JUAN, PR 00936-5067
(787) 758-2525
Mailing address
791 CALLE CECILIANA APT.2, VILLA UNIVERSITARIA, SAN JUAN, PR 00926-7350
(787) 383-3707
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/19/2025
Last updated
03/19/2025
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