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Individual

LISA M MEDINA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
J ST. B16, EDIF.MEDICO HNAS DAVILA SUITE103 VILLA RICA, BAYAMON, PR 00956
(787) 786-3854
Mailing address
PO BOX 6603, BAYAMON, PR 00960-5603
(787) 786-3854
(787) 786-3854

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
10910
PR

Other

Enumeration date
12/06/2005
Last updated
02/01/2011
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