Juan Carlos Medina Colon
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Toa Baja, PR
NPI 1124881495 · NPPES record last updated Jan 31, 2024
Key facts
- NPI
- 1124881495
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 8033 Plaza Caribe
Toa Baja, PR 00949-4380 - Phone
- (787) 458-3664
- NPI assigned
- Jan 31, 2024
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
8033 Plaza Caribe
Toa Baja, PR 00949-4380
Mailing address
8033 Plaza Caribe
Toa Baja, PR 00949-4380
Other providers in Toa Baja, PR
- Medical Ancillary Diagnostic Services
- Medical Specialty Clinic LLC
- Medicos Pharmacy & Laboratory
- Medicos Visitantes CSP
- Yanira Medina Claudio
- Giovanna Medina
- Sheila Medina
- Angel L. Melendez
- Carissa Melendez
- Erika Melendez
All providers in Toa Baja, PR · Student in an Organized Health Care Education/Training Program in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 31, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.