Medina, Carlos A

Medina, Carlos A is an individual health care provider with primary practice located at 1611 Nw 12Th Ave M851, Miami FL 33101-6960. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery is his primary health care specialty. Medina, Carlos A can be contacted via phone (305) 243-4029.

Contact Information

Primary practice address
1611 Nw 12Th Ave M851 Miami FL 33101-6960
Phone: (305) 243-4029
Fax: (305) 243-8470
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME60360 Florida
Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery 207VF0040X ME60360 Florida

Profile Details

NPI number 1639193923
LBN Legal business name Medina, Carlos A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Sep 29th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639193923 NPPES
Florida MEDICAID 3732894-00

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