Manuel Medina
LBN: Manuel Medina
Manuel Medina is an health care organization with primary practice located at Road Pr-2 Marginal D-10 Urb. Villa Real, Vega Baja PR 00694. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Magnetic Resonance Imaging (MRI), Ambulatory Health Care Facilities / Radiology. Ambulatory Health Care Facilities / Radiology is the primary health care specialty.
Manuel Medina can be contacted via phone (787) 807-0900, or through Gonzalez, Mariely via phone (787) 607-1591.
Contact Information
Primary practice address
Road Pr-2 Marginal D-10 Urb. Villa Real
Vega Baja PR 00694
Phone: (787) 807-0900
Fax: (787) 855-2729
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Magnetic Resonance Imaging (MRI) | 261QM1200X | ||
| Ambulatory Health Care Facilities / Radiology | 261QR0200X |
Profile Details
| NPI number | 1073362760 |
|---|---|
| LBN Legal business name | Manuel Medina |
| DBA Doing business as | |
| Authorized official | Gonzalez, Mariely |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | May 15th, 2024 |
| Last updated | May 15th, 2024 - about 7 months ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073362760 | NPPES |
| South Carolina | MEDICAID | 1780652594 |
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