Dr. Roberto Medina, MD LLC
Clinic/Center, Primary Care in Wethersfield, Connecticut
1083798821- Practice location
- 415 Silas Deane Hwy, Suite 210, Wethersfield, CT 06109-2124
- Phone
- 860-257-4470
- Fax
- 860-257-4479
- Last updated
- September 11, 2025
Dr. Roberto Medina, MD LLC is a healthcare organization based in Wethersfield, CT. Dr. Roberto Medina, MD LLC practices in Wethersfield, CT. The NPI Number for Dr. Roberto Medina, MD LLC is 1083798821 and holds a License No. 034507 (CT). The current practice location address for Dr. Roberto Medina, MD LLC is 415 Silas Deane Hwy, Suite 210, Wethersfield, CT 06109-2124 and can be reached out via phone at 860-257-4470 and via fax at 860-257-4479.
Provider Profile Details
- NPI Number
- 1083798821
- Provider Name
- Dr. Roberto Medina, MD LLC
- Provider Entity Type
- Organization
- Address
- 415 Silas Deane Hwy, Suite 210, Wethersfield, CT 06109-2124
- Phone Number
- 860-257-4470
- Fax Number
- 860-257-4479
- Primary Taxonomy
- Clinic/Center, Primary Care · 261QP2300X
- Organization Subpart
- No
- Authorized Official
- Dr. Roberto Medina, MD · Owner · 860-257-4470
- Provider Enumeration Date
- October 25, 2006
- Last Update Date
- September 11, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 415 Silas Deane Hwy
Suite 210
Wethersfield, CT 06109-2124 - City
- Wethersfield
- State
- Connecticut
- Zip
- 06109-2124
- Phone Number
- 860-257-4470
- Fax Number
- 860-257-4479
Provider Business Mailing Address Details
- Address
- 415 Silas Deane Hwy
Suite 210
Wethersfield, CT 06109-2124 - City
- Wethersfield
- State
- CT
- Zip
- 06109-2124
- Phone Number
- 860-257-4470
- Fax Number
- 860-257-4479
License Information
- License Number (1)
- 034507
- License State (1)
- CT
- Taxonomy (1)
- Clinic/Center, Primary Care · 261QP2300X · Primary
- Taxonomy (2)
- Specialist · 174400000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Roberto Medina, MD LLC?
The NPI number of Dr. Roberto Medina, MD LLC is 1083798821. It was assigned on October 25, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Roberto Medina, MD LLC?
Dr. Roberto Medina, MD LLC is registered under the primary taxonomy Clinic/Center, Primary Care (code 261QP2300X), licensed in CT under license number 034507.
Where does Dr. Roberto Medina, MD LLC practice?
The practice location is 415 Silas Deane Hwy, Suite 210, Wethersfield, CT 06109-2124. The office can be reached at 860-257-4470 (phone) or 860-257-4479 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083798821 directly on the NPPES registry website.