Medina, Nelson R

Medina, Nelson R is an sole proprietor health care provider with primary practice located at 311 Torre San Cristobal , Coto Laurel PR 00780-2856. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Medina, Nelson R can be contacted via phone (787) 813-2385.

Contact Information

Primary practice address
311 Torre San Cristobal Coto Laurel PR 00780-2856
Phone: (787) 813-2385
Fax: (787) 984-1691
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 12324 Puerto Rico

Profile Details

NPI number 1770543514
LBN Legal business name Medina, Nelson R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 24th, 2006
Last updated Feb 7th, 2023 - about 2 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 1770543514 NPPES
Puerto Rico MEDICAID 037630002
Puerto Rico Other 403255022
Puerto Rico Other 600932
Puerto Rico Other 09312324
Puerto Rico Other 214131
Puerto Rico Other 3561
Puerto Rico Other 1808
Puerto Rico Other 5012324
Puerto Rico Other SE4203
Puerto Rico Other 061067

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