ASTRID ROCIO SOARES MEDINA (NPI# 1639625783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639625783 |
| Entity Type | Individual |
| Full Name | ASTRID ROCIO SOARES MEDINA |
| Practice Address |
2 Carr Puerto Rico Av Hostos 410 Bo Sabalos Suite 116 Mayaguez PR 00681-0000 |
| Mailing Address |
100 E Gay St Unit 206 Columbus OH 43215-3169 |
| Practice Telephone | 7873817469 |
| Practice Fax Number | 7876521833 |
| Mailing Telephone | 7877178477 |
| Enumeration Date | 2016-08-29 |
| Last Update Date | 2019-07-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
19660 | PR | Allopathic & Osteopathic Physicians |
| N | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
57.027307 | OH | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 100 E Gay St Unit 206, Columbus, OH 432153169 | 7877178477 |
| Street Address |
2 CARR PUERTO RICO AV HOSTOS 410 BO SABALOS SUITE 116 |
| City | MAYAGUEZ |
| State | PR |
| Zip Code | 00681-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841826385 | Iocp Optical LLC | Optometrist | Edificio 101 Mendez Vigo, Mayaguez, PR 00681 | 2020-03-17 |
| 1295365674 | Yaniel A Garcia Cortes | Pharmacist | Carr#2 Puerto Rico, Mayaguez, 00681, Mayaguez, PR 00681 | 2020-01-24 |
| 1922647007 | Melissa Ramirez-gonzalez | Pharmacy | Carr 352 Km 4.6 Bo Leguisamo, Mayaguez, PR 00681 | 2020-01-06 |
| 1942849849 | Joshua Rafael Gonzalez Echevarria | Nurse Anesthetist, Certified Registered | Calle Doctor Barbosa # 15, Mayaguez, PR 00681 | 2019-12-26 |
| 1619516432 | Melodie Katherine Padilla Santiago | Psychologist | Calle Ramon Emeterio Betances, #392, Mayaguez, Pr, PR 00681 | 2019-12-26 |
| 1831757350 | Juan Cristian Perez Olmos | Family Medicine | 410 Carretera 2 Ave Hostos, Bo Sabalos, Mayaguez, PR 00681 | 2019-05-30 |
| 1790342491 | Freddie Irizarry-delgado | Student in an Organized Health Care Education/Training Program | 15 Calle Doctor Basora, Mayaguez, PR 00681 | 2019-05-29 |
| 1720553514 | Optical Supercenter Arecibo Corp. | Optometrist | 4 Calle Zafiro, Vista Verde, Mayaguez, PR 00681 | 2018-10-08 |
| 1194215756 | Manuel Morillo Menendez | Family Medicine | 410 Ave Hostos Carr 2, Bo Sabalos, Mayaguez, PR 00681 | 2018-05-18 |
| 1972017325 | Pedro L. Cortes Jr. | Psychologist | Professional Building Plaza, Avenida Hostos 770 Suite 302, Mayaguez, PR 00681 | 2017-11-21 |
| Find all providers in zip 00681 | ||||
| Taxonomy Code | 2086S0120X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Pediatric Surgery |
| A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376150680 | Pediatric & General Surgery LLC | Surgery | 410 Ave Hostos Ste 123, Mayaguez, PR 00682-1560 | 2020-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902265887 | Puerto Rico Pediatric Surgery Group Psc | Surgery | 76 Calle Aquamarina, San Juan, PR 00926-7067 | 2016-02-19 |
| 1881841260 | Pediatric Surgical Services Psc | Surgery | San Jorge Hospital Medical Office Building #301, San Juan, PR 00912 | 2008-08-27 |
| 1114122207 | David John Calvesbert | Surgery | Na6 Calle Miramonte, Garden Hills, Guaynabo, PR 00966-2009 | 2007-06-19 |
| 1205030988 | Jorge J. Zequeira Diaz | Surgery | Cirugia Pediatrica Rcm, Hospital Pediatrico Universitario Centro Medico De Pr, San Juan, PR 00935 | 2007-06-14 |
| 1689891160 | Centro Medico Del Turabo Inc | Surgery | Hima San Pablo Caguas Cepa, Ave Luis Munoz Marin Primer Piso, Caguas, PR 00725 | 2007-04-19 |
| 1144345315 | Teresita A. Aviles - Rodriguez | Surgery | Cirugia Pediatrica Segundo Piso, Hospital Pediatrico Universitario, Centro Medico De Pr, San Juan, PR 00935-0001 | 2007-03-20 |
| 1255487930 | Aurelio Segundo | Surgery | 252 San Jorge Ave., Suite 301, San Juan, PR 00912 | 2007-01-26 |
| 1689663619 | Vidal Rosario Leon | Surgery | 108 Calle Jose C. Vazquez, Aibonito, PR 00705 | 2005-10-21 |
| 1275527780 | Victor N. Ortiz - Justiniano | Surgery | Puerto Rico Childrens Hospital Ofic. 302, Carr Num. 2 Km 11.7 Edif. Medical Plaza, Bayamon, PR 00960 | 2005-09-12 |
| 1588666770 | Ivan Figueroa-otero | Surgery | 252 Calle San Jorge, Ste 407, San Juan, PR 00912-3310 | 2005-06-01 |
| 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.