Individual
DR. LUIS A MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
SAN JUAN CITY HOSPITAL, MEDICAL CENTER, SAN JUAN, PR 00936
(787) 766-0205
(787) 767-7011
Mailing address
N30 CALLE M, TRUJILLO ALTO, PR 00976-3133
(787) 760-7405
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5789
PR
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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