Individual provider Active NPI

Eduardo J Medina Parrilla, MD

  • Neuropathology Physician
  • San Juan, PR
National Provider Identifier
1649639022
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuropathology PhysicianTaxonomy code 207ZN0500X
License
19628 Issued in PR
Practice address
300C Calle Manuel Domenech
San Juan, PR 00918-3509
Phone
(352) 709-2828
NPI assigned
Feb 15, 2016
Last updated
Aug 21, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuropathology Physician 207ZN0500X 19628 PR Primary
Anatomic Pathology Physician 207ZP0101X 19628 PR

Addresses

Primary practice location

300C Calle Manuel Domenech
San Juan, PR 00918-3509

Mailing address

PO Box 367501
San Juan, PR 00926

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20180518002101 PR Practitioner - PathologyPractitioner - General Practice 8820353923 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hato Rey Pathology Associates IncGroup PAC ID 6608959804, 21 clinicians

Practice addresses (Care Compare)

1451 Ave Ashford
San Juan, PR 00907-1511
Phone (787) 723-2322

300 Ave Domenech
San Juan, PR 00918-3509
Phone (787) 758-3220

302 Ave Domenech
San Juan, PR 00918-3509
Phone (787) 758-3220

304 Ave Domenech
San Juan, PR 00918-3509
Phone (787) 758-3220

570 Calle Juan J Jimenez
San Juan, PR 00918-3722
Phone (787) 765-7320

PO Box
Suite 366527
San Juan, PR 00936-6527

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
19628PRMDAnatomic Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Recinto de Ciencias Medicas CurrentSince Aug 1, 2025 Accepting new patients
Recinto de Ciencias Medicas CurrentSince Aug 1, 2025 Accepting new patients
Hato Rey Pathology Associates Inc Anatomic Pathology CurrentSince Dec 16, 2024 Accepting new patients

Locations

300 Calle Manuel Domenech
#C
San Juan, PR 00918
Phone (352) 709-2828

570 Calle Juan J Jimenez
San Juan, PR 00918
Phone 7877657320 ext. 225

Sotano Lab Patologia Anatomica
San Juan, PR 00935
Phone (787) 766-0728

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1455494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1649639022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 367501",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300C CALLE MANUEL DOMENECH",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183509",
            "telephone_number": "352-709-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA PARRILLA",
        "first_name": "EDUARDO",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-15",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZN0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Neuropathology",
            "state": "PR",
            "license": "19628",
            "primary": true
        },
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "PR",
            "license": "19628",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.