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ERNESTO MEDINA DE JESUS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
62 CALLE MENDEZ ALVAREZ, SAN LORENZO, PR 00754-3537
(787) 736-6359
Mailing address
62 CALLE MENDEZ ALVAREZ, SAN LORENZO, PR 00754-3537

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
14975
PR

Other

Enumeration date
04/25/2006
Last updated
10/22/2012
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