Active NPIIndividual providerSole proprietor

Ms. Patricia Medina, RD CDE

Dietitian, Registered in Mayaguez, Puerto Rico

NPI Number1639103278
Practice location
345 Ave Hostos, Mopc Veterans Outpatient Clinic, Mayaguez, PR 00680-1507
Fax
787-265-8809
Last updated
July 8, 2007

Patricia Medina is a Dietitian, Registered based in Mayaguez, PR. Patricia Medina practices in Mayaguez, PR and has the professional credentials of RD CDE. The NPI Number for Patricia Medina is 1639103278 and holds a License No. 436406 (PR). The current practice location address for Patricia Medina is 345 Ave Hostos, Mopc Veterans Outpatient Clinic, Mayaguez, PR 00680-1507 and can be reached out via phone at 787-834-6900 and via fax at 787-265-8809.

Provider Profile Details

NPI Number
1639103278
Provider Name
Patricia Medina
Credential
RD CDE
Provider Entity Type
Individual
Gender
Female
Address
345 Ave Hostos, Mopc Veterans Outpatient Clinic, Mayaguez, PR 00680-1507
Phone Number
787-834-6900
Fax Number
787-265-8809
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
Yes
Provider Enumeration Date
July 10, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
345 Ave Hostos
Mopc Veterans Outpatient Clinic
Mayaguez, PR 00680-1507
Zip
00680-1507
Phone Number
787-834-6900
Fax Number
787-265-8809
Mayaguez, PR 00680Get directions →

Provider Business Mailing Address Details

Address
Estancias Del Parra #127
Lajas, PR 00667
City
Lajas
State
PR
Zip
00667
Phone Number
787-473-8292

License Information

License Number
436406
License State
PR
Taxonomy
Dietitian, Registered · 133V00000X · 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 Ms. Patricia Medina, RD CDE?

The NPI number of Ms. Patricia Medina, RD CDE is 1639103278. It was assigned on July 10, 2006 and is currently active in the NPPES registry.

What is the specialty of Ms. Patricia Medina, RD CDE?

Ms. Patricia Medina, RD CDE is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in PR under license number 436406.

Where does Ms. Patricia Medina, RD CDE practice?

The practice location is 345 Ave Hostos, Mopc Veterans Outpatient Clinic, Mayaguez, PR 00680-1507. The office can be reached at 787-834-6900 (phone) or 787-265-8809 (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 1639103278 directly on the NPPES registry website.

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