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Mara Lee Medina
General Practice Physician in Mayaguez, N/A
NPI 1447865530

Mara Lee Medina is a General Practice Physician based in San Antonio, . Mara Lee Medina practices in Mayaguez, . The NPI Number for Mara Lee Medina is 1447865530 and holds a License No. 21964 (N/A).

The current practice location address for Mara Lee Medina is 15 Calle Doctor Basora, Mayaguez, and can be reached out via phone at 787-834-0101.

Location: 15 Calle Doctor Basora, Mayaguez, , 00690-0387
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447865530
Provider Name
Mara Lee Medina
Credential
Provider Entity Type
Individual
Gender
Female
Address
15 Calle Doctor Basora, Mayaguez, , 00690-0387
Phone Number
787-834-0101
Fax Number
Provider Enumeration Date
09/15/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
15 Calle Doctor Basora
City
Mayaguez
State
Zip
00681
Phone Number
787-834-0101
Fax Number
person
Provider Business Mailing Address Details
Address
15 Calle Doctor Basora
City
Mayaguez
State
Zip
00681
Phone Number
787-834-0101
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
21964 ()
Definition
Definition to come...
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