Medina, Ivan

Medina, Ivan is an individual health care provider with primary practice located at 15043 S Dixie Hwy , Miami FL 33176-7930. He recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as his primary health care specialty. Medina, Ivan can be contacted via phone (305) 238-2474.

Contact Information

Primary practice address
15043 S Dixie Hwy Miami FL 33176-7930
Phone: (305) 238-2474
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 15106 Florida

Profile Details

NPI number 1497744874
LBN Legal business name Medina, Ivan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2005
Last updated Jul 8th, 2007 - about 17 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.

Request for update

Popular Providers