MANUEL MEDINA (NPI# 1558651935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558651935 |
| Entity Type | Individual |
| Full Name | MANUEL MEDINA |
| Credential | M.D. |
| Practice Address |
1801 Ave Ponce De Leon San Juan PR 00909-1900 |
| Practice Telephone | 7872683192 |
| Enumeration Date | 2011-04-19 |
| Last Update Date | 2011-04-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740345404 | Manuel L. Medina | Social Worker | 4020 N Zapotec Ave, Eloy, AZ 85231-1160 | 2006-12-23 |
| 1952498867 | Manuel Medina IIi | Family Medicine | 610 W 17th St, Santa Ana, CA 92706-3621 | 2006-10-10 |
| 1205814761 | Manuel Medina | Radiology | Carr. #2 Marginal Urb. Villa Real, D-10, Vega Baja, PR 00693 | 2006-01-05 |
| 1922005701 | Manuel Medina | Surgery | 1801 Ave Ponce De Leon, Suite 304, San Juan, PR 00909-1900 | 2005-07-07 |
| 1538792577 | Manuel Medina | Social Worker | 3414 W 84th St Ste 100, Hialeah Gardens, FL 33018-4932 | 2020-02-18 |
| 1003454307 | Manuel J Medina | Behavior Technician | 2700 S Shartel Ave, Oklahoma City, OK 73109-2234 | 2019-12-17 |
| 1629004700 | Manuel Medina | Anesthesiology | 355 Bard Ave, Staten Island, NY 10310 | 2006-06-23 |
| Street Address |
1801 AVE PONCE DE LEON |
| City | SAN JUAN |
| State | PR |
| Zip Code | 00909-1900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922005701 | Manuel Medina | Surgery | 1801 Ave Ponce De Leon, Suite 304, San Juan, PR 00909-1900 | 2005-07-07 |
| 1881155976 | Clinica Medicina Preventiva C.p. | General Practice | 1801 Ave Ponce De Leon, Santurce Medical Mall Suite 101 B, San Juan, PR 00909 | 2019-03-29 |
| 1275036451 | Ag Thyroid & Endocrine Clinic LLC | Internal Medicine | 1801 Ave Ponce De Leon, San Juan, PR 00909-1900 | 2018-03-14 |
| 1275089864 | Caroline M Forastieri Villamil | Psychologist | 1801 Ave Ponce De Leon, Suite 311, San Juan, PR 00909 | 2016-09-01 |
| 1063806008 | Nrmd Health Providers Psc | General Practice | 1801 Ave Ponce De Leon, Suite 206 Santurce Medical Mall, San Juan, PR 00909-1900 | 2015-03-27 |
| 1689065708 | Oficina Medica Dr Pintado P S C | Clinic/Center | 1801 Ave Ponce De Leon, Suite 203, San Juan, PR 00909-1900 | 2015-02-11 |
| 1578980314 | Elizabeth E Martinez | Psychologist | 1801 Ave Ponce De Leon, Suite 311, San Juan, PR 00909-1900 | 2014-03-18 |
| 1053683482 | Maria Victoria Garcia | Psychologist | 1801 Ave Ponce De Leon, Santurce Medical Mall, San Juan, PR 00909-1900 | 2012-02-01 |
| 1093001729 | Psicologos Clinicos Del Santurce Medical Mall, Csp | Clinic/Center | 1801 Ave Ponce De Leon, Suite 311, San Juan, PR 00909-1900 | 2011-06-21 |
| 1730494493 | M.r. Medical, P.s.c. | Surgery | 1801 Ave Ponce De Leon, Suite 304, San Juan, PR 00909-1900 | 2010-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508467713 | Stephanie Maldonado | Specialist | Condominio Asia, 1503 Calle Prof. Augusto Rodriguez, Suite 600, San Juan, PR 00909 | 2020-11-04 |
| 1588262893 | The Auffant Recruitment Group, Inc | Nursing Care | 312 Jose De Diego Avenue, Suite 601, San Juan, PR 00909 | 2020-10-09 |
| 1538766118 | Jose Gilberto Agosto | Pharmacy Technician | 1507 Calle Augusto Rodriguez, San Juan, PR 00909 | 2020-10-06 |
| 1629682125 | Grupo Med | Hospitalist | First Federal Building Suite 302, 1519 Ave Ponce De Leon, San Juan, PR 00909 | 2020-09-02 |
| 1053934992 | Abigail Hernandez | Registered Nurse | 1503 Calle Prof. Augusto Rodriguez Condominio Asia, Suit 600, San Juan, PR 00909 | 2020-05-27 |
| 1477186062 | We Bones | Durable Medical Equipment & Medical Supplies | Ponce De Leon 1612 1er Piso Oficinai/2, San Juan, PR 00909 | 2020-02-21 |
| 1790335602 | Hamid Corp | Pharmacy | 615 Ave. Manuel Pavia, San Juan, PR 00909 | 2019-09-13 |
| 1629625850 | Ian Javier Vazquez | Dietitian, Registered | 1456 Calle Prof. Augusto Rodriguez, San Juan, PR 00909 | 2019-08-22 |
| 1083277966 | Gerald Manuel Garcia Rivera | Registered Nurse | 1503 Calle Prof. Augusto Rodriguez, Cond. Asia, Suite 600, San Juan, PR 00909 | 2019-04-17 |
| 1659839264 | Carla Ortiz | Naturopath | 1511 Avenida Juan Ponce De Leon, San Juan, PR 00909 | 2019-03-04 |
| Find all providers in zip 00909 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881291540 | Valeria Lozada Miranda | Student in an Organized Health Care Education/Training Program | Hospital Universitario Centro Medico, San Juan, PR 00921 | 2020-10-06 |
| 1629685565 | Marlene Bridgette Rodriguez | Student in an Organized Health Care Education/Training Program | 200 Carr 842 Apt 31, San Juan, PR 00926-9664 | 2020-09-24 |
| 1083229678 | Cochranlee Villanueva Rodriguez | Student in an Organized Health Care Education/Training Program | 253 Calle Diez De Andino, San Juan, PR 00912-3401 | 2020-09-10 |
| 1427662881 | Nelly Alfonsina Cetraro | Student in an Organized Health Care Education/Training Program | Goberndor Pinero, Centro Medico De Puerto Rico, Bo. Monacillos., San Juan, PR 00917 | 2020-09-03 |
| 1053925370 | Rafael Esteban Amador Gonzalez | Student in an Organized Health Care Education/Training Program | La Campina 79 Calle 1, San Juan, PR 00926 | 2020-09-03 |
| 1093327439 | Axel David Reyes Vazquez | Student in an Organized Health Care Education/Training Program | Calle Juan Pena Reyes #977, Condominio Sabana Village, San Juan, PR 00924 | 2020-08-18 |
| 1255942074 | Jose Armando Corzo Gomez | Student in an Organized Health Care Education/Training Program | 715 Ave Ponde De Leon Stop 37.5, San Juan, PR 00918 | 2020-08-14 |
| 1831708437 | Gymar M Vargas | Student in an Organized Health Care Education/Training Program | Urb La Utt, Calle Juan D Lefebres #10, San Juan, PR 00926 | 2020-07-29 |
| 1518576370 | Edison Yadiel Martinez Monegro | Student in an Organized Health Care Education/Training Program | Parcelas Falu Calle 36 #304, San Juan, PR 00924 | 2020-07-28 |
| 1760091086 | Patrick Anthony Maher | Student in an Organized Health Care Education/Training Program | 1451 Ave Dr. Ashford, San Juan, PR 00907 | 2020-07-23 |
| Find all providers in SAN JUAN | ||||
Please comment or provide details below to improve the information on MANUEL MEDINA.
| 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.