Active NPIIndividual providerSole proprietor

Mr. Edmond Medina, MD

Podiatrist in Bayamon, Puerto Rico

NPI Number1275521312
Practice location
P12 Ave Magnolia, Bayamon, PR 00956-2608
Fax
787-785-9290
Last updated
August 18, 2021

Edmond Medina is a Podiatrist based in Bayamon, PR. Edmond Medina practices in Bayamon, PR and has the professional credentials of MD. The NPI Number for Edmond Medina is 1275521312 and holds a License No. 095 (PR). The current practice location address for Edmond Medina is P12 Ave Magnolia, Bayamon, PR 00956-2608 and can be reached out via phone at 787-785-9282 and via fax at 787-785-9290.

Provider Profile Details

NPI Number
1275521312
Provider Name
Edmond Medina
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
P12 Ave Magnolia, Bayamon, PR 00956-2608
Phone Number
787-785-9282
Fax Number
787-785-9290
Primary Taxonomy
Podiatrist · 213E00000X
Sole Proprietor
Yes
Provider Enumeration Date
October 12, 2005
Last Update Date
August 18, 2021
Certification Date
August 18, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
P12 Ave Magnolia
Bayamon, PR 00956-2608
Zip
00956-2608
Phone Number
787-785-9282
Fax Number
787-785-9290
Bayamon, PR 00956Get directions →

Provider Business Mailing Address Details

Address
Me8 Plaza 12
Urb. Monte Claro
Bayamon, PR 00961-4776
City
Bayamon
State
PR
Zip
00961-4776
Phone Number
787-785-9282
Fax Number
787-785-9290

License Information

License Number
095
License State
PR
Taxonomy
Podiatrist · 213E00000X · 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 Mr. Edmond Medina, MD?

The NPI number of Mr. Edmond Medina, MD is 1275521312. It was assigned on October 12, 2005 and is currently active in the NPPES registry.

What is the specialty of Mr. Edmond Medina, MD?

Mr. Edmond Medina, MD is registered under the primary taxonomy Podiatrist (code 213E00000X), licensed in PR under license number 095.

Where does Mr. Edmond Medina, MD practice?

The practice location is P12 Ave Magnolia, Bayamon, PR 00956-2608. The office can be reached at 787-785-9282 (phone) or 787-785-9290 (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 1275521312 directly on the NPPES registry website.

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