Individual
ISMAEL MEDINA-AGOSTINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
43 AVE SEVERIANO CUEVAS, AGUADILLA, PR 00603-5766
(787) 891-4865
(787) 891-4865
Mailing address
301 J.H. CINTRON ST, ESTANCIAS DEL GOLF CLUB, PONCE, PR 00730
(787) 284-5682
(787) 284-5682
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
12886
PR
Other
Enumeration date
07/10/2006
Last updated
07/08/2007
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