Individual
DR. NELSON R MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
311 TORRE SAN CRISTOBAL, COTO LAUREL, PR 00780-2856
(787) 813-2385
(787) 984-1691
Mailing address
P O BOX 332228, PONCE, PR 00733-2228
(787) 813-2385
(787) 984-1691
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
12324
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
037630002
—
PR
01
—
061067
CRUZ AZUL DE PR
PR
01
—
09312324
GLOBAL HEATH
PR
01
—
1808
PREFERRED MEDICAL CHOICE
PR
01
—
214131
PREFERRED MEDICAL
PR
01
—
3561
FISRT MEDICAL
PR
01
—
403255022
PROSAM
PR
01
—
5012324
AUTORIDAD DE ACUEDUCTOS
PR
01
—
600932
MEDICARE Y MUCHO MAS
PR
01
—
SE4203
PALIC
PR
Enumeration date
03/24/2006
Last updated
03/26/2026
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