Mara L Medina
General Practice in Mayaguez, Puerto Rico
1447865530- Practice location
- 15 Calle Doctor Basora, Mayaguez, PR 00681
- Phone
- 787-834-0101
- Fax
- —
- Last updated
- September 15, 2020
Mara Lee Medina is a General Practice based in Mayaguez, PR. Mara Lee Medina practices in Mayaguez, PR. The NPI Number for Mara Lee Medina is 1447865530 and holds a License No. 21964 (PR). The current practice location address for Mara Lee Medina is 15 Calle Doctor Basora, Mayaguez, PR 00681 and can be reached out via phone at 787-834-0101.
Provider Profile Details
- NPI Number
- 1447865530
- Provider Name
- Mara Lee Medina
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 15 Calle Doctor Basora, Mayaguez, PR 00681
- Phone Number
- 787-834-0101
- Primary Taxonomy
- General Practice · 208D00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- September 15, 2020
- Last Update Date
- September 15, 2020
- Certification Date
- September 13, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 15 Calle Doctor Basora
Mayaguez, PR 00681 - City
- Mayaguez
- State
- Puerto Rico
- Zip
- 00681
- Phone Number
- 787-834-0101
Provider Business Mailing Address Details
- Address
- Po Box 387
San Antonio, PR 00690-0387 - City
- San Antonio
- State
- PR
- Zip
- 00690-0387
- Phone Number
- 787-975-2520
License Information
- License Number (1)
- 21964
- License State (1)
- PR
- Taxonomy (1)
- General Practice · 208D00000X
- License Number (2)
- 021964
- License State (2)
- PR
- Taxonomy (2)
- General Practice · 208D00000X · 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 Mara L Medina?
The NPI number of Mara L Medina is 1447865530. It was assigned on September 15, 2020 and is currently active in the NPPES registry.
What is the specialty of Mara L Medina?
Mara L Medina is registered under the primary taxonomy General Practice (code 208D00000X), licensed in PR under license number 21964.
Where does Mara L Medina practice?
The practice location is 15 Calle Doctor Basora, Mayaguez, PR 00681. The office can be reached at 787-834-0101 (phone).
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 1447865530 directly on the NPPES registry website.