Active NPIIndividual providerSole proprietor

Jaime Medina Medina, MSW, JD

Social Worker in Ponce, Puerto Rico

NPI Number1538680558
Practice location
Cii 32 Jardines Del Caribe, Ff33, Ponce, PR 00728-2609
Fax
787-842-5342
Last updated
June 29, 2017

Jaime Medina Medina is a Social Worker based in Ponce, PR. Jaime Medina Medina practices in Ponce, PR and has the professional credentials of MSW, JD. The NPI Number for Jaime Medina Medina is 1538680558 and holds a License No. 3685 (PR). The current practice location address for Jaime Medina Medina is Cii 32 Jardines Del Caribe, Ff33, Ponce, PR 00728-2609 and can be reached out via phone at 787-290-0022 and via fax at 787-842-5342.

Provider Profile Details

NPI Number
1538680558
Provider Name
Jaime Medina Medina
Credential
MSW, JD
Provider Entity Type
Individual
Gender
Male
Address
Cii 32 Jardines Del Caribe, Ff33, Ponce, PR 00728-2609
Phone Number
787-290-0022
Fax Number
787-842-5342
Primary Taxonomy
Social Worker · 104100000X
Sole Proprietor
Yes
Provider Enumeration Date
June 29, 2017
Last Update Date
June 29, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
Cii 32 Jardines Del Caribe
Ff33
Ponce, PR 00728-2609
City
Ponce
Zip
00728-2609
Phone Number
787-290-0022
Fax Number
787-842-5342
Ponce, PR 00728Get directions →

Provider Business Mailing Address Details

Address
Cii 32 Jardines Del Caribe
Ff33
Ponce, PR 00728-2609
City
Ponce
State
PR
Zip
00728-2609

License Information

License Number
3685
License State
PR
Taxonomy
Social Worker · 104100000X · 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 Jaime Medina Medina, MSW, JD?

The NPI number of Jaime Medina Medina, MSW, JD is 1538680558. It was assigned on June 29, 2017 and is currently active in the NPPES registry.

What is the specialty of Jaime Medina Medina, MSW, JD?

Jaime Medina Medina, MSW, JD is registered under the primary taxonomy Social Worker (code 104100000X), licensed in PR under license number 3685.

Where does Jaime Medina Medina, MSW, JD practice?

The practice location is Cii 32 Jardines Del Caribe, Ff33, Ponce, PR 00728-2609. The office can be reached at 787-290-0022 (phone) or 787-842-5342 (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 1538680558 directly on the NPPES registry website.

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