Individual
DR. JUAN DE JESUS MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2DO PISO CARR 129, ANTIGUO HOSPITAL DE DISTRITO, ARECIBO, PR 00612
(787) 878-3552
(787) 879-8633
Mailing address
PO BOX 9550 COTTO STATION, ARECIBO, PR 00613
(787) 878-3552
(787) 879-8633
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
453
PR
Other
Enumeration date
12/27/2006
Last updated
07/08/2007
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