Angela M Medina, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

115 Issued in PR

Practice address

Pearle Vision Plaza Las Americas
Local 140
San Juan, PR 00918

Phone

(787) 753-1033

Fax

(787) 758-1494

NPI assigned

Feb 28, 2006

Sex

Female

Sole proprietor

No

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)

Enrolled

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1194791129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "D7 CALLE TULANE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009274905",
            "telephone_number": "787-617-7821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PEARLE VISION PLAZA LAS AMERICAS",
            "address_2": "LOCAL 140",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "787-753-1033",
            "fax_number": "787-758-1494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "ANGELA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-28",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darysa Medina-Santiago, PH.D., MCR
• Israel Medina-Tanco, SW
• Aida Eugenia Medina, MD
• Alejandra Medina, MD
• Alexandra Marie Medina, PSY.D.
• Beatriz Medina, PSYD
• Benanette Medina, DMD
• Carmen Teresa Medina, DPT
• Carolina Medina
• Doris G Medina, LND,RD

• Optometrist in San Juan, PR
• Providers in San Juan, PR by specialty
• Optometrist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.