Medina, Luis S

Medina, Luis S is an individual health care provider with primary practice located at 3100 Sw 62Nd Ave Radiology Department, Miami FL 33155-3009. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Radiology, which is considered as his primary health care specialty. Medina, Luis S can be contacted via phone (305) 662-8293.

Contact Information

Primary practice address
3100 Sw 62Nd Ave Radiology Department Miami FL 33155-3009
Phone: (305) 662-8293
Fax: (305) 667-8689
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Radiology 2085P0229X ME061485 Florida

Profile Details

NPI number 1255353637
LBN Legal business name Medina, Luis S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Jul 24th, 2013 - about 11 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 1255353637 NPPES
Florida MEDICAID 257799200

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