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Individual

JOSE F MEDINA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
18 CALLE BOU, BARRIO PUEBLO, COROZAL, PR 00783-2011
(787) 859-4503
Mailing address
PO BOX 848, COROZAL, PR 00783-0848
(787) 859-4503

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
4983
PR

Other

Enumeration date
03/12/2007
Last updated
07/07/2014
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