MR. EDMOND MEDINA (NPI# 1275521312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275521312 |
| Entity Type | Individual |
| Full Name | MR. EDMOND MEDINA |
| Credential | MD |
| Practice Address |
P12 Ave Magnolia Bayamon PR 00956-2608 |
| Mailing Address |
Me8 Plaza 12 Urb. Monte Claro Bayamon PR 00961-4776 |
| Practice Telephone | 7877859282 |
| Practice Fax Number | 7877859290 |
| Mailing Telephone | 7877859282 |
| Mailing Fax Number | 7877859290 |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2008-02-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 095 | PR | Podiatric Medicine & Surgery Service Providers |
| Street Address |
P12 AVE MAGNOLIA |
| City | BAYAMON |
| State | PR |
| Zip Code | 00956-2608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598000275 | Elizabeth Lopez | Social Worker | P12 Ave Magnolia, Bayamon, PR 00956-2608 | 2012-12-06 |
| 1821219296 | Aixa M. Roman | Occupational Therapist | P12 Ave Magnolia, Bayamon, PR 00956-2608 | 2007-05-01 |
| 1235281080 | Yurizan Rios | Psychologist | P12 Ave Magnolia, Bayamon, PR 00956-2608 | 2007-01-18 |
| 1205854858 | Professional Therapy & Health Services Psc. | Clinic/Center | P12 Ave Magnolia, Magnolia Gardens, Bayamon, PR 00956-2608 | 2006-07-18 |
| 1467440453 | Lorelay Robles | Occupational Therapist | P12 Ave Magnolia, Bayamon, PR 00956-2608 | 2005-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205437514 | Julio Alberto Cedeno Alicea | Pharmacist | Carr. 174 Km. 10.2, Sec. La Morenita Bo. Guaraguao, Bayamon, PR 00956 | 2020-11-03 |
| 1851992275 | Patricia Santurio | Pharmacist | Farmacia Magda C 30, Santa Juanita, Bayamon, PR 00956 | 2020-11-03 |
| 1336754423 | Gustavo Jose Morey Cruz | Physical Therapist | Urb Santa Juanita Calle 30 Uu #43, Bayamon, PR 00956 | 2020-09-15 |
| 1609480961 | Great Vision, LLC | Optometrist | Avenida Laurel Gh1 Ofic #3, Santa Juanita, Bayamon, PR 00956 | 2020-09-03 |
| 1861004285 | Glorilis Zambrana Sr. | Social Worker | Carr. 174 Km 15.3 Barrio Guaraguao Arriba, Sector Chorrera, Bayamon, PR 00956 | 2020-08-18 |
| 1568073484 | Luz Myriam Bracero | Counselor | Carr 174 Km 8.3, Bo Guaraguao Abajo, Bayamon, PR 00956 | 2020-08-13 |
| 1316565641 | Aa Home Rental Inc | Clinical Medical Laboratory | Carr 829 Km,6.2, Bayamon, PR 00956 | 2020-07-13 |
| 1750909495 | Agustin Vazquez | Physician Assistant | Carr 167 Km 10.9, Bayamon, PR 00956 | 2020-07-09 |
| 1710509211 | Carmen Luz Rosa Santiago | Registered Nurse | Carr 829 Km 5.2, Bo. Santa Olaya, Bayamon, PR 00956 | 2020-05-07 |
| 1649891193 | Omar Pantaleon | Student in an Organized Health Care Education/Training Program | Avenida Laurel, Santa Juanita, Bayamon, PR 00956 | 2020-05-06 |
| Find all providers in zip 00956 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194820670 | Dr Joaquin Balaguer Group Psc | Podiatrist | #100 Paseo San Pablo, Edif Dr Arturo Cadilla Ofic 409, Bayamon, PR 00961 | 2006-09-13 |
| 1356311229 | Joaquin F Balaguer | Podiatrist | Edif Dr Arturo Cadilla Ofic 409, 100 Paseo San Pablo, Bayamon, PR 00961 | 2006-01-24 |
| 1114542016 | Preferred Podiatry Network of Puerto Rico, LLC | Podiatrist | 100 Paseo San Pablo, Edif Dr. Arturo Cadilla Ofic 409, Bayamon, PR 00961 | 2020-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700252293 | Cayey Podiatrics Psc | Podiatrist | 66 Calle Barbosa S, Cayey, PR 00736-4727 | 2015-08-19 |
| 1285961730 | Clinica Podiatrica Dr Escalona Psc | Podiatrist | 359 Calle San Claudio # Cupey, Suite 200, San Juan, PR 00926-9907 | 2009-11-04 |
| 1487837704 | Carlos I Arroyo | Podiatrist | 1494 Ave Roosevelt, Suite 101 Caparra Heights, San Juan, PR 00921-9998 | 2007-12-10 |
| 1629120605 | Javier Miguel De Jesus-orpi | Podiatrist | 52 Padre Rivera Ave., Humacao, PR 00791 | 2007-01-18 |
| 1477617603 | Julio M Matias | Podiatrist | 557 Cabo Alverio Street, Hato Rey, PR 00918 | 2006-12-21 |
| 1912070384 | Wilfredo R Rivera Esquerdo | Podiatrist | Torre San Pablo Del Este Suite 204, Hospital Hima San Pablo Del Este, Fajardo, PR 00738 | 2006-11-15 |
| 1790868610 | Pablo E Vega | Podiatrist | The Gallery At Gran Caribe, Suite 205, Vega Alta, PR 00692 | 2006-10-23 |
| 1427142645 | Jose C Rodriguez Portela | Podiatrist | Caribe Medical Plaza Suite 201, Urb Santa Rita Marginal 1, Vega Alta, PR 00692 | 2006-10-03 |
| 1134220262 | Miguel J Martin | Podiatrist | 66 Barbosa St, Cayey, PR 00736 | 2006-09-25 |
| 1174622096 | Roberto Sanchez Cordova | Podiatrist | 1229 Jesus T Pineiro, Puerto Nuevo, PR 00920 | 2006-09-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.