Miguel Angel Medina, NURSE

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

026696 Issued in PR

Practice address

Centro Salud Mental de Mayaguez
410 Ave Hostos Suite 7
Mayaguez, PR 00682-1522

Phone

(787) 833-0663

Fax

(787) 833-1371

NPI assigned

May 11, 2007

Last updated

Jul 8, 2007By 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

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306051784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BARRIO MONTE GRANDE",
            "address_2": "CALLE MARGARITA 207",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "00623",
            "telephone_number": "787-832-2325",
            "fax_number": "787-833-1371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CENTRO SALUD MENTAL DE MAYAGUEZ",
            "address_2": "410 AVE HOSTOS SUITE 7",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006821522",
            "telephone_number": "787-833-0663",
            "fax_number": "787-833-1371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "MIGUEL",
        "middle_name": "ANGEL",
        "name_prefix": "Mr.",
        "credential": "NURSE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "PR",
            "license": "026696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cesar A Medina-Diaz, PSY.D., M.A.
• Angel Rolando Medina, MD
• Benjamin Medina, MD
• Erik G Medina, M.D.
• Mara Lee Medina
• Patricia Medina, R.D. C.D.E.
• Jose R Medrano Perez III, MD
• Medx Pharma Experience
• Jeannine Gabrielle Mejias-Trujillo
• Samuel Melendez del Valle, M.D.

• General Practice Registered Nurse in Mayaguez, PR
• Providers in Mayaguez, PR by specialty
• General Practice Registered Nurse in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.