Medina, Samuel

Medina, Samuel is an sole proprietor health care provider with primary practice located at C18 Calle 5 Estancias De San Fernando, Carolina PR 00985-5215. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Medina, Samuel can be contacted via phone (787) 438-4798.

Contact Information

Primary practice address
C18 Calle 5 Estancias De San Fernando Carolina PR 00985-5215
Phone: (787) 438-4798
Fax: (787) 768-4977
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 2199 Puerto Rico

Profile Details

NPI number 1962569392
LBN Legal business name Medina, Samuel
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 3rd, 2007
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 1962569392 NPPES
Puerto Rico Other 0720683 DRIVERS LICENCE

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