Juan Carlos Medina Colon

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

8033 Plaza Caribe
Toa Baja, PR 00949-4380

Phone

(787) 458-3664

NPI assigned

Jan 31, 2024

Last updated

Jan 31, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1706659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1124881495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8033 PLAZA CARIBE",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009494380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8033 PLAZA CARIBE",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009494380",
            "telephone_number": "787-458-3664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA COLON",
        "first_name": "JUAN",
        "middle_name": "CARLOS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-01-31",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medical Ancillary Diagnostic Services
• Medical Specialty Clinic LLC
• Medicos Pharmacy & Laboratory (Farmacia MPL CDT Dr Olivera Guerra)
• Medicos Visitantes CSP
• Yanira Medina Claudio, MD
• Giovanna Medina, RN
• Sheila Medina
• Angel L. Melendez
• Carissa Melendez, M.S
• Erika Melendez, PHT.

• Student in an Organized Health Care Education/Training Program in Toa Baja, PR
• Providers in Toa Baja, PR by specialty
• Student in an Organized Health Care Education/Training Program in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.