Carmen Teresa Medina, DPT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

611 Issued in PR

Practice address

1283 Calle 54 SE
Urb la Riviera
San Juan, PR 00921-3144

Phone

(787) 783-6290

Fax

(787) 782-0670

NPI assigned

Mar 2, 2017

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)

Not enrolled

Practice roles

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.

• Clinica Pediatrica de Terepia, Inc.

  • Pediatric Physical Therapist
  • San Juan, PR
  • NPI 1760779318

  Pediatrics

  NPD (past) Authorized official

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

{
    "created_epoch": "1488412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488412800000",
    "number": "1770023251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1283 CALLE 54 SE",
            "address_2": "URB LA RIVIERA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009213144",
            "telephone_number": "787-783-6290",
            "fax_number": "787-782-0670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1283 CALLE 54 SE",
            "address_2": "URB LA RIVIERA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009213144",
            "telephone_number": "787-783-6290",
            "fax_number": "787-782-0670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "CARMEN",
        "middle_name": "TERESA",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-02",
        "last_updated": "2017-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "PR",
            "license": "611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alejandra Medina, MD
• Alexandra Marie Medina, PSY.D.
• Angela M Medina, O.D.
• Beatriz Medina, PSYD
• Benanette Medina, DMD
• Carolina Medina
• Doris G Medina, LND,RD
• Edwin Jose Medina
• Haydee Medina, CLINICAL NURSE SPECI
• Jose A Medina, DMD

• Pediatric Physical Therapist in San Juan, PR
• Providers in San Juan, PR by specialty
• Pediatric Physical Therapist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2017; 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.