Roberto M Medina, MD
Internal Medicine in Wethersfield, Connecticut
1215977855- Practice location
- 415 Silas Deane Hwy, Suite 210, Wethersfield, CT 06109-2124
- Phone
- 860-257-4470
- Fax
- 860-257-4479
- Last updated
- December 1, 2009
Roberto M Medina is an Internal Medicine based in Wethersfield, CT. Roberto M Medina practices in Wethersfield, CT and has the professional credentials of MD. The NPI Number for Roberto M Medina is 1215977855 and holds a License No. 034507 (CT). The current practice location address for Roberto M Medina 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
- 1215977855
- Provider Name
- Roberto M Medina
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 415 Silas Deane Hwy, Suite 210, Wethersfield, CT 06109-2124
- Phone Number
- 860-257-4470
- Fax Number
- 860-257-4479
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- June 8, 2006
- Last Update Date
- December 1, 2009
- 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 - City
- Wethersfield
- State
- CT
- Zip
- 06109
- Phone Number
- 860-257-4470
- Fax Number
- 860-257-4479
License Information
- License Number (1)
- 034507
- License State (1)
- CT
- Taxonomy (1)
- Specialist · 174400000X
- License Number (2)
- 034507
- License State (2)
- CT
- Taxonomy (2)
- Internal Medicine · 207R00000X · Primary
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 Roberto M Medina, MD?
The NPI number of Roberto M Medina, MD is 1215977855. It was assigned on June 8, 2006 and is currently active in the NPPES registry.
What is the specialty of Roberto M Medina, MD?
Roberto M Medina, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in CT under license number 034507.
Where does Roberto M Medina, MD 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 1215977855 directly on the NPPES registry website.