Manuel Medina, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

13446 Issued in PR

Practice address

Carr. #2 Marginal Urb. Villa Real
D-10
Vega Baja, PR 00693

Phone

(787) 807-0900

Fax

(787) 855-2729

NPI assigned

Jan 5, 2006

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

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Diagnostic Radiology

Education

Ponce School of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northshore Imaging Services, PSCGroup PAC ID 4688616212, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Northshore Imaging Services, PSC

  • Specialist
  • Hatillo, PR
  • NPI 1396700266

  Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• South Western Radiology Services PSC

  dba Advanced MRI & CT Institute

  • Radiology Clinic/Center
  • Vega Baja, PR
  • NPI 1780652594
  Medicare reassignment Authorized official
• Hospital Menonita de Cayey

  • General Acute Care Hospital
  • Cayey, PR
  • NPI 1750317764
  Medicare reassignment NPD
• Hospital Menonita de Cayey

  dba Grupo Medico Menonita de Cayey

  • Specialist
  • Cayey, PR
  • NPI 1255461893

  Diagnostic Radiology

  NPD
• Centro Imagenes del Oeste

  • Radiography Radiologic Technologist
  • Mayaguez, PR
  • NPI 1043221971
  NPD (past)
• Policlinica de Familia Factor Inc

  • Emergency Care Clinic/Center
  • Arecibo, PR
  • NPI 1285664573
  NPD (past)

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205366400000",
    "number": "1205814761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1498",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006941498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. #2 MARGINAL URB. VILLA REAL",
            "address_2": "D-10",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "00693",
            "telephone_number": "787-807-0900",
            "fax_number": "787-855-2729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "MANUEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-05",
        "last_updated": "2008-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PR",
            "license": "13446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medex Medical Express Transportation Services
• Medi-K Clinic
• Daniela Cristina Medina-Camacho, MS
• Evaristo Jaime Medina-Cucurella, M.D.
• Lucery Medina-Laureano, PHD
• Ubaldo Medina, M.D.
• Mega Medical Supply Corporation
• Sandinid Mejias, SLP
• Melao Chiropractic LLC
• Melendez Gastroenterology Institute, LLC

• Diagnostic Radiology Physician in Vega Baja, PR
• Providers in Vega Baja, PR by specialty
• Diagnostic Radiology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.