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Individual

LIANA R MEDINA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1815 ROAD # 2 KM 11.7, BAYAMON, PR 00959-7279
(787) 780-9069
(787) 780-2121
Mailing address
PO BOX 602727, BAYAMON, PR 00960-6037
(787) 780-9069
(787) 780-2121

Taxonomy

Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
8426
PR
2085R0202X
Diagnostic Radiology Physician
Primary
8426
PR

Other

Enumeration date
09/09/2005
Last updated
03/26/2010
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