Active NPIIndividual provider

Dr. Angela M Medina, OD

Optometrist in San Juan, Puerto Rico

NPI Number1194791129
Practice location
Pearle Vision Plaza Las Americas, Local 140, San Juan, PR 00918
Fax
787-758-1494
Last updated
July 13, 2026

Angela M Medina is an Optometrist based in San Juan, PR. Angela M Medina practices in San Juan, PR and has the professional credentials of OD. The NPI Number for Angela M Medina is 1194791129 and holds a License No. 115 (PR). The current practice location address for Angela M Medina is Pearle Vision Plaza Las Americas, Local 140, San Juan, PR 00918 and can be reached out via phone at 787-753-1033 and via fax at 787-758-1494.

Provider Profile Details

NPI Number
1194791129
Provider Name
Angela M Medina
Credential
OD
Provider Entity Type
Individual
Gender
Female
Address
Pearle Vision Plaza Las Americas, Local 140, San Juan, PR 00918
Phone Number
787-753-1033
Fax Number
787-758-1494
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
No
Provider Enumeration Date
February 28, 2006
Last Update Date
July 13, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
Pearle Vision Plaza Las Americas
Local 140
San Juan, PR 00918
Zip
00918
Phone Number
787-753-1033
Fax Number
787-758-1494
San Juan, PR 00918Get directions →

Provider Business Mailing Address Details

Address
D7 Calle Tulane
San Juan, PR 00927-4905
City
San Juan
State
PR
Zip
00927-4905
Phone Number
787-617-7821

License Information

License Number
115
License State
PR
Taxonomy
Optometrist · 152W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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. Angela M Medina, OD?

The NPI number of Dr. Angela M Medina, OD is 1194791129. It was assigned on February 28, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Angela M Medina, OD?

Dr. Angela M Medina, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in PR under license number 115.

Where does Dr. Angela M Medina, OD practice?

The practice location is Pearle Vision Plaza Las Americas, Local 140, San Juan, PR 00918. The office can be reached at 787-753-1033 (phone) or 787-758-1494 (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 1194791129 directly on the NPPES registry website.

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