Jennnymar Medina, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

14968 Issued in PR

Practice address

Carr#2 Ramal 484
Bo Cocos
Quebradillas, PR 00678

Phone

(787) 895-4583

Fax

(787) 895-4583

NPI assigned

Jul 25, 2006

Sex

Female

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)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: jennymar.medina@medcentro.directbygreenway.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Family Health Group S.S.C.S.P

  • General Practice Physician
  • San Sebastian, PR
  • NPI 1700962586
  NPD (past)

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271635200000",
    "number": "1740203660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 217",
            "city": "CASTANER",
            "state": "PR",
            "postal_code": "006310217",
            "telephone_number": "787-895-4583",
            "fax_number": "787-895-4583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR#2 RAMAL 484",
            "address_2": "BO COCOS",
            "city": "QUEBRADILLAS",
            "state": "PR",
            "postal_code": "00678",
            "telephone_number": "787-895-4583",
            "fax_number": "787-895-4583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "JENNNYMAR",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2010-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "14968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rocio Martinez, PHD
• Med World Ambulance Corp
• Medical Office Health Services PSC
• Arelis Medina Rosa, M.D.
• Evelyn Medina, MSW
• Gerardo A Mejias, M.D.
• Arleen Melendez, NL
• Edgar Mendez, DDS
• Samuel Hiram Mendez
• Suheily Mendez, MASTERS CLINICAL SW

• General Practice Physician in Quebradillas, PR
• Providers in Quebradillas, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.