Dr Nelson R Medina, MD C.s.p.

NPI #1467588186 in Ponce, Puerto Rico

Provider Information

NPI Number: 1467588186
Entity Type: Organization
Organization Name: Dr Nelson R Medina, MD C.s.p.
Primary Specialty: Specialist
Enumeration Date: Feb 26, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: EDIFICIO PORRATA PILA 2431 AVE. LAS AMERICAS
Address 2: SUITE 101
City: Ponce
State: Puerto Rico
ZIP Code: 00731
Phone: (787) 813-2385

Authorized Official

Name: DR. NELSON R MEDINA MORENO, M.D.
Title: MEDICO
Phone: (787) 813-2385

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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