Gerardo J Medina Caban
Nephrologist
1050 Los Corazones Ave Suite 102
Mayaguez
, Puerto Rico 00680-7042
Gerardo J Medina Caban
Nephrologist
1050 Los Corazones Ave Suite 102
Mayaguez
, Puerto Rico 00680-7042
(787) 833-6640
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About
Features
Specialties
- Nephrologist
Languages spoken
- English
Location
First Address
- Gerardo J Medina Caban
- 1050 Los Corazones Ave Suite 102
- Mayaguez, PR
- Zip : 00680-7042
- Fax : (787) 833-6640
- Phone : (787) 834-5334
Second Address
- Gerardo J Medina Caban
- 1050 Los Corazones Ave Suite 102
- Mayaguez, PR
- Zip : 00680-7042
- Fax : (787) 833-6640
- Phone : (787) 834-5334
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RN0300X | Nephrologist | 14373 | PR |
National Provider Identifier
| NPI | 1003912288 |
|---|---|
| Provider Name | Gerardo J Medina Caban |
| First Address | Mayaguez, PR 00680-7042 |
| Second Address | Mayaguez, PR 00680-7042 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/09/2006 |
| Last Update Date | 05/10/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| I17215 | (02) |
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.