Dr. Jose A Medina
Endodontist
1738 Calle Amarillo Suite 207-B (box 16)
San Juan
, Puerto Rico 00926-3072
Dr. Jose A Medina
Endodontist
1738 Calle Amarillo Suite 207-B (box 16)
San Juan
, Puerto Rico 00926-3072
(787) 765-3416
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About
Features
Specialties
- Endodontist
Languages spoken
- English
Location
First Address
- Dr. Jose A Medina
- 1738 Calle Amarillo Suite 207-B (box 16)
- San Juan, PR
- Zip : 00926-3072
- Fax : (787) 765-3416
- Phone : (787) 765-7248
Second Address
- Dr. Jose A Medina
- 1738 Calle Amarillo Suite 207-B (box 16)
- San Juan, PR
- Zip : 00926-3072
- Fax : (787) 765-3416
- Phone : (787) 765-7248
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223E0200X | Endodontist | 2008 | PR |
National Provider Identifier
| NPI | 1073630760 |
|---|---|
| Provider Name | Dr. Jose A Medina |
| First Address | San Juan, PR 00926-3072 |
| Second Address | San Juan, PR 00926-3072 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/03/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.