Active NPIIndividual provider

Kevin O Medina Gomez

Pharmacist in Bajadero, Puerto Rico

NPI Number1700716495
Practice location
Hc 2 Box 7904, Bajadero, PR 00616-9902
Fax
—
Last updated
May 22, 2026

Kevin Omar Medina Gomez is a Pharmacist based in Bajadero, PR. Kevin Omar Medina Gomez practices in Bajadero, PR. The NPI Number for Kevin Omar Medina Gomez is 1700716495 and holds a License No. 8691 (PR). The current practice location address for Kevin Omar Medina Gomez is Hc 2 Box 7904, Bajadero, PR 00616-9902 and can be reached out via phone at 939-243-4157.

Provider Profile Details

NPI Number
1700716495
Provider Name
Kevin Omar Medina Gomez
Provider Entity Type
Individual
Gender
Male
Address
Hc 2 Box 7904, Bajadero, PR 00616-9902
Phone Number
939-243-4157
Primary Taxonomy
Pharmacist · 183500000X
Sole Proprietor
No
Provider Enumeration Date
May 22, 2026
Last Update Date
May 22, 2026
Certification Date
May 22, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
Hc 2 Box 7904
Bajadero, PR 00616-9902
Zip
00616-9902
Phone Number
939-243-4157
Bajadero, PR 00616Get directions →

Provider Business Mailing Address Details

Address
Hc 2 Box 7904
Bajadero, PR 00616-9902
City
Bajadero
State
PR
Zip
00616-9902

License Information

License Number
8691
License State
PR
Taxonomy
Pharmacist · 183500000X · 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 Kevin O Medina Gomez?

The NPI number of Kevin O Medina Gomez is 1700716495. It was assigned on May 22, 2026 and is currently active in the NPPES registry.

What is the specialty of Kevin O Medina Gomez?

Kevin O Medina Gomez is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in PR under license number 8691.

Where does Kevin O Medina Gomez practice?

The practice location is Hc 2 Box 7904, Bajadero, PR 00616-9902. The office can be reached at 939-243-4157 (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 1700716495 directly on the NPPES registry website.

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