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Individual

DR. NELSON R MEDINA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

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
08/14/2026
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