Active NPIIndividual providerSole proprietor

Jennnymar Medina, MD

General Practice in Quebradillas, Puerto Rico

NPI Number1740203660
Practice location
Carr#2 Ramal 484, Bo Cocos, Quebradillas, PR 00678
Fax
787-895-4583
Last updated
April 19, 2010

Jennnymar Medina is a General Practice based in Quebradillas, PR. Jennnymar Medina practices in Quebradillas, PR and has the professional credentials of MD. The NPI Number for Jennnymar Medina is 1740203660 and holds a License No. 14968 (PR). The current practice location address for Jennnymar Medina is Carr#2 Ramal 484, Bo Cocos, Quebradillas, PR 00678 and can be reached out via phone at 787-895-4583 and via fax at 787-895-4583.

Provider Profile Details

NPI Number
1740203660
Provider Name
Jennnymar Medina
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
Carr#2 Ramal 484, Bo Cocos, Quebradillas, PR 00678
Phone Number
787-895-4583
Fax Number
787-895-4583
Primary Taxonomy
General Practice · 208D00000X
Sole Proprietor
Yes
Provider Enumeration Date
July 25, 2006
Last Update Date
April 19, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
Carr#2 Ramal 484
Bo Cocos
Quebradillas, PR 00678
Zip
00678
Phone Number
787-895-4583
Fax Number
787-895-4583
Quebradillas, PR 00678Get directions →

Provider Business Mailing Address Details

Address
Po Box 217
Castaner, PR 00631-0217
City
Castaner
State
PR
Zip
00631-0217
Phone Number
787-895-4583
Fax Number
787-895-4583

License Information

License Number
14968
License State
PR
Taxonomy
General Practice · 208D00000X · 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 Jennnymar Medina, MD?

The NPI number of Jennnymar Medina, MD is 1740203660. It was assigned on July 25, 2006 and is currently active in the NPPES registry.

What is the specialty of Jennnymar Medina, MD?

Jennnymar Medina, MD is registered under the primary taxonomy General Practice (code 208D00000X), licensed in PR under license number 14968.

Where does Jennnymar Medina, MD practice?

The practice location is Carr#2 Ramal 484, Bo Cocos, Quebradillas, PR 00678. The office can be reached at 787-895-4583 (phone) or 787-895-4583 (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 1740203660 directly on the NPPES registry website.

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