Individual
IVAN J MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
CIUDAD JARDIN III, 197 CALLE FLAMBOYAN, TOA ALTA, PR 00953
(787) 506-8499
(787) 279-4652
Mailing address
CIUDAD JARDIN III, 197 CALLE FLAMBOYAN, TOA ALTA, PR 00953
(787) 506-8499
(787) 279-4652
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
12/18/2019
Last updated
12/18/2019
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