Active NPIIndividual providerSole proprietor

Dr. Enrique Medina, MD

Pediatrics in San German, Puerto Rico

NPI Number1750504213
Practice location
47 Calle Dr Santiago Veve, San German, PR 00683-4113
Fax
787-264-0396
Last updated
September 14, 2016

Enrique Medina is a Pediatrics based in San German, PR. Enrique Medina practices in San German, PR and has the professional credentials of MD. The NPI Number for Enrique Medina is 1750504213 and holds a License No. 10090 (PR). The current practice location address for Enrique Medina is 47 Calle Dr Santiago Veve, San German, PR 00683-4113 and can be reached out via phone at 787-264-0396 and via fax at 787-264-0396.

Provider Profile Details

NPI Number
1750504213
Provider Name
Enrique Medina
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
47 Calle Dr Santiago Veve, San German, PR 00683-4113
Phone Number
787-264-0396
Fax Number
787-264-0396
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
Yes
Provider Enumeration Date
April 11, 2007
Last Update Date
September 14, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
47 Calle Dr Santiago Veve
San German, PR 00683-4113
Zip
00683-4113
Phone Number
787-264-0396
Fax Number
787-264-0396
San German, PR 00683Get directions →

Provider Business Mailing Address Details

Address
Po Box 275
San German, PR 00683-0275
City
San German
State
PR
Zip
00683-0275
Phone Number
787-264-0396
Fax Number
787-264-0396

License Information

License Number (1)
10090
License State (1)
PR
Taxonomy (1)
Specialist · 174400000X
License Number (2)
010090
License State (2)
PR
Taxonomy (2)
Pediatrics · 208000000X · 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 Dr. Enrique Medina, MD?

The NPI number of Dr. Enrique Medina, MD is 1750504213. It was assigned on April 11, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Enrique Medina, MD?

Dr. Enrique Medina, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in PR under license number 10090.

Where does Dr. Enrique Medina, MD practice?

The practice location is 47 Calle Dr Santiago Veve, San German, PR 00683-4113. The office can be reached at 787-264-0396 (phone) or 787-264-0396 (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 1750504213 directly on the NPPES registry website.

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