Individual
SIXTO R MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 LAUREL AVE., SANTA JUANITA, BAYAMON, PR 00956
(787) 787-5151
Mailing address
2211 LYELL AVE STE 111, ROCHESTER, NY 14606-5743
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21430
PR
207R00000X
Internal Medicine Physician
308811-01
NY
390200000X
Student in an Organized Health Care Education/Training Program
32438
PR
Other
Enumeration date
09/01/2016
Last updated
02/13/2026
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