Individual
DR. CARLOS E MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
982PA
Contact information
Practice address
URB LAS DELICIAS URSULA CARDONA 3246, PONCE, PR 00728-3918
(787) 298-4608
Mailing address
URB LAS DELICIAS URSULA CARDONA 3246, PONCE, PR 00728-3918
(787) 298-4608
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
982PA
PR
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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