Annie Medina Castro, LICENCIADA

Primary specialty

Nutrition Education NutritionistTaxonomy code 133NN1002X

License

938 Issued in PR

Practice address

Cond Centro PLZ
San Juan, PR 00909-2110

Phone

(787) 480-2783

Fax

(787) 274-8796

NPI assigned

Jun 26, 2014

Last updated

Jun 26, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Miss Annie Medina Castro Professional name

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": "1403740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403740800000",
    "number": "1508271776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NUM 43 CALLE 9A BLOQ 23",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009855414",
            "telephone_number": "787-877-0794",
            "fax_number": "787-272-8796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COND CENTRO PLZ",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009092110",
            "telephone_number": "787-480-2783",
            "fax_number": "787-274-8796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA CASTRO",
        "first_name": "ANNIE",
        "name_prefix": "Miss",
        "credential": "LICENCIADA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-26",
        "last_updated": "2014-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "PR",
            "license": "938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNIE",
            "last_name": "MEDINA CASTRO",
            "prefix": "MISS",
            "credential": "LICENCIADA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Medicos Selectos de P.R. Inc
• Mediexpreess
• Mediexpreso LLC
• Ivonne Maria Medina Campusano
• Sofia Medina Caraballo
• Nicolle Medina Cintron
• Fabiola R Medina Gonzalez, PHARMD
• Maria Esther Medina Gonzalez
• Yailis M Medina Gonzalez, MD
• Casandra Medina Jimenez, M.D.

• Nutrition Education Nutritionist in San Juan, PR
• Providers in San Juan, PR by specialty
• Nutrition Education Nutritionist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2014; 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.