M.R. Medical, P.S.C.

Primary specialty

Surgery of the Hand (Surgery) PhysicianTaxonomy code 2086S0105X

Legal business name

M.R. MEDICAL, P.S.C.

Practice address

1801 Ave Ponce de Leon
Suite 304
San Juan, PR 00909-1900

Phone

(787) 268-3192

Fax

(787) 268-3191

NPI assigned

Aug 18, 2010

Last updated

Nov 2, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Manuel Medina, MDNPI 1922005701

Title

President

Phone

(787) 268-3192

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Manuel Medina, M.D.

  • Surgery of the Hand (Surgery) Physician
  • San Juan, PR
  • NPI 1922005701
  NPD (past) Authorized official

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

{
    "created_epoch": "1282089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288656000000",
    "number": "1730494493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 AVE PONCE DE LEON",
            "address_2": "SUITE 304",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009091900",
            "telephone_number": "787-268-3192",
            "fax_number": "787-268-3191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 AVE PONCE DE LEON",
            "address_2": "SUITE 304",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009091900",
            "telephone_number": "787-268-3192",
            "fax_number": "787-268-3191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M.R. MEDICAL, P.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-18",
        "last_updated": "2010-11-02",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-268-3192",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0105X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Surgery of the Hand",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgery of the Hand (Surgery) Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Surgery of the Hand (Surgery) Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; 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.