Individual
MR. ISRAEL MEDINA-TANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SW
Contact information
Practice address
1406 AVE P DE LEON STOP 20, SAN JUAN, PR 00907-4022
(787) 724-8585
(787) 724-2520
Mailing address
1406 AVE P DE LEON STOP 20, SAN JUAN, PR 00907-4022
(787) 724-8585
(787) 724-2520
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
3945
PR
Other
Enumeration date
04/07/2008
Last updated
04/07/2008
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