Active NPI
Eduardo J Medina Parrilla, MD
- Neuropathology Physician
- San Juan, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuropathology Physician
- License
- 19628
- Practice address
- 300C Calle Manuel Domenech
San Juan, PR 00918-3509 - Phone
- (352) 709-2828
- NPI assigned
- Feb 15, 2016
- Last updated
- Aug 21, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 19628 | PR | MD | Anatomic Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Recinto de Ciencias Medicas | Current | Accepting new patients | |
| Recinto de Ciencias Medicas | Current | Accepting new patients | |
| Hato Rey Pathology Associates Inc | Anatomic Pathology | Current | 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.
-
dba HRP Labs
- Clinical Medical Laboratory
- San Juan, PR
- NPI 1740460583
Anatomic Pathology
-
dba Recinto de Ciencias Medicas (Lab. Histopatologia RCM)
- Clinical Medical Laboratory
- Rio Piedras, PR
- NPI 1184642779
-
dba Cirugia Colorrectal RCM
- Colon & Rectal Surgery Physician
- San Juan, PR
- NPI 1538935051
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Hospital Pavia Santurce
- General Acute Care Hospital
- San Juan, PR
- NPI 1467417865
-
dba Ashford Presbyterian Community Hospital
- General Acute Care Hospital
- San Juan, PR
- NPI 1770580813
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
- Yailis M Medina Gonzalez, MD
- Casandra Medina Jimenez, M.D.
- Sahira M Medina Lopez, MSW
- Sofia Medina Oliveras, M.D.
- Gabriel Sebastian Medina Ortiz, STUDENT
- Mariola B Medina Rodriguez
- Yashira Anais Medina Roman, MD
- Aisha M Medina Torres, MS
- Nadja Laura Medina Torres, M.S.-SLP
- Adrian Jose Medina Wezer, MD STUDENT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; 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.