Tony Alejandro Medina Sr.

Primary specialty

Secured Medical Transport (VAN)Taxonomy code 343800000X

Practice address

432 Peppermill Cir
Kissimmee, FL 34758

Phone

(414) 544-5400

NPI assigned

Sep 16, 2024

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

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

{
    "created_epoch": "1726444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1649007600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "432 PEPPERMILL CIR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "34758",
            "telephone_number": "414-544-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 PEPPERMILL CIR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "34758",
            "telephone_number": "414-544-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "TONY",
        "middle_name": "ALEJANDRO",
        "name_suffix": "Sr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-09-16",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Santa Medina
• Medisound Inc
• Medoz Pharmacy of Osceola Inc
• Medteam Group, LLC
• Medvital Physician Care Group
• Medvital Walk in Lab and Clinic, LLC

• Secured Medical Transport (VAN) in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Secured Medical Transport (VAN) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.