Medina, Juan Israel

Medina, Juan Israel is an individual health care provider with primary practice located at Ponce De Leon #735 Torre Medico Dental Auxilio Mutuo Suite #607, San Juan PR 00917-5028. He recently has only one registered license in Dental Providers / Prosthodontics, which is considered as his primary health care specialty. Medina, Juan Israel can be contacted via phone (787) 767-7850.

Contact Information

Primary practice address
Ponce De Leon #735 Torre Medico Dental Auxilio Mutuo Suite #607 San Juan PR 00917-5028
Phone: (787) 767-7850
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Prosthodontics 1223P0700X 2076 Puerto Rico

Profile Details

NPI number 1588637359
LBN Legal business name Medina, Juan Israel
Credentials D.D.S. M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2006
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588637359 NPPES
Puerto Rico Other 206674 UTI
Puerto Rico Other 42135ME UTI
Puerto Rico Other 9690066 UTI
Puerto Rico Other 041823 UTI

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