Aida Eugenia Medina, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

023948 Issued in PR

Practice address

1692 Calle Portugues
San Juan, PR 00926-3116

Phone

(787) 466-8059

NPI assigned

Jun 25, 2024

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

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

General Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Centro de Salud de Lares IncGroup PAC ID 0840272985, shared by 4 NPIs, 32 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Arecibo Medical Home Care Home health agency, Arecibo, PR, CCN 407027
• Advance Hospice Services Inc Hospice, Bo Palmas, PR, CCN 401570

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Centro de Salud de Lares, Inc

  • Federally Qualified Health Center (FQHC)
  • Quebradillas, PR
  • NPI 1235179532
  NPD
• Centro de Salud de Lares, Inc.

  • Federally Qualified Health Center (FQHC)
  • Lares, PR
  • NPI 1417907502
  NPD
• Centro de Salud de Lares, Inc

  • Community/Retail Pharmacy
  • Lares, PR
  • NPI 1093544132
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Advanced Hospice Services, Inc.

  • Community Based Hospice Care Agency
  • Guaynabo, PR
  • NPI 1730432253
  Care Compare affiliation
• La Providencia Home Health Care Inc.

  • Home Health Agency
  • Arecibo, PR
  • NPI 1285748491
  Care Compare affiliation

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

{
    "created_epoch": "1719273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782000000000",
    "number": "1407691223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1692 CALLE PORTUGUES",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009263116",
            "telephone_number": "787-466-8059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1692 CALLE PORTUGUES",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009263116",
            "telephone_number": "787-466-8059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "AIDA",
        "middle_name": "EUGENIA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-25",
        "last_updated": "2026-06-21",
        "certification_date": "2026-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "023948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana Rita Medina-Bravo, PHARMD
• Patricia I Medina-Rivera, PHARM. D
• Roberto Medina-Rivera, R.PH.
• Darysa Medina-Santiago, PH.D., MCR
• Israel Medina-Tanco, SW
• Alejandra Medina, MD
• Alexandra Marie Medina, PSY.D.
• Angela M Medina, O.D.
• Beatriz Medina, PSYD
• Benanette Medina, DMD

• General Practice Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2026; 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.