Andrea Cristina Medina Gonzalez, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

024204 Issued in PR

Practice address

D80 Calle C
Dorado, PR 00646-2012

Phone

(787) 400-4851

NPI assigned

Jul 25, 2019

Last updated

Jul 28, 2025By the provider in NPPES

Sex

Female

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

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

• Medina Gonzalez Dermatology LLC

  • Clinic/Center
  • Dorado, PR
  • NPI 1225928641
  NPD Authorized official
• Dra. Dianne Carrasquillo L.L.C.

  • Dermatology Physician
  • San Juan, PR
  • NPI 1043986953
  NPD

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

{
    "created_epoch": "1564012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1346894664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "D80 CALLE C",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006462012",
            "telephone_number": "787-400-4851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "D80 CALLE C",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006462012",
            "telephone_number": "787-400-4851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA GONZALEZ",
        "first_name": "ANDREA",
        "middle_name": "CRISTINA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-25",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PR",
            "license": "024204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MC Drug LLC (Super Farmacia Dorado)
• Paulette M McDevitt Torres, THL
• MD Distributors
• Glorimar Medero
• Medina Gonzalez Dermatology LLC
• Jomar Alexis Medina Ortiz
• Mediserv L.L.C.
• Laura C Mejia, MD
• Jerry Melecio, PHARM AUX
• Josue Melendez Almodovar, MSW

• Dermatology Physician in Dorado, PR
• Providers in Dorado, PR by specialty
• Dermatology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; 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.