Individual
GIANCARLO MEDINA PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
725 ALBANY ST FL 4, BOSTON, MA 02118-3549
(617) 638-5633
Mailing address
95 UNIVERSITY AVE UNIT 2139, WESTWOOD, MA 02090-2376
(787) 429-2229
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/29/2022
Last updated
07/25/2023
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