Thomas Manuel Medina, D.D.S., G.P.R.

Primary specialty

DentistTaxonomy code 122300000X

License

1938 Issued in PR

Practice address

Antonio R. Barcelo Ave
Sierra de Cayey Suite 202
Cayey, PR 00736

Phone

(787) 263-4777

NPI assigned

Dec 27, 2006

Last updated

Nov 22, 2023By 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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Medbar Dental Service PSC

  • Dentist
  • Cayey, PR
  • NPI 1245419068
  NPD Authorized official

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700611200000",
    "number": "1265597363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ANTONIO R. BARCELO AVE",
            "address_2": "SIERRA DE CAYEY SUITE 202",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "00736",
            "telephone_number": "787-263-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ANTONIO R. BARCELO AVE",
            "address_2": "SIERRA DE CAYEY SUITE 202",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "00736",
            "telephone_number": "787-263-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "THOMAS",
        "middle_name": "MANUEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S., G.P.R.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PR",
            "license": "1938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medical Bariatrics LLC
• Mediko Imaging Inc.
• Rafael F Medina-Prieto
• Biomaris Medina-Rivera, MD
• Gloria Maria Medina
• Jefry Mejia Mercedes, MD
• Delia Maria Melendez Falcon, TERAPIA OCUPACIONAL
• Legna Michelle Melendez Jimenez, MS
• Sandra Melendez, BS PH
• Claudia Sofia Mendez Serrano

• Dentist in Cayey, PR
• Providers in Cayey, PR by specialty
• Dentist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2023; 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.