Luz Patricia Medina MD Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD14001 Issued in HI

Legal business name

LUZ PATRICIA MEDINA MD INC

Practice address

99 S Market St Ste 103
Wailuku, HI 96793-2252

Phone

(808) 249-8862

NPI assigned

Sep 4, 2008

Last updated

Oct 18, 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

Ms. Laura Medina

Title

Billing Manager

Phone

(808) 249-8862

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287360000000",
    "number": "1780832584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 S MARKET ST STE 103",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967932252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 S MARKET ST STE 103",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967932252",
            "telephone_number": "808-249-8862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUZ PATRICIA MEDINA MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-04",
        "last_updated": "2010-10-18",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "808-249-8862",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "HI",
            "license": "MD14001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hi'Ilani M Luke, RBT
• Sherelle Lum
• Emily Margaret Lundin, L.AC
• Beverly Ann Lundquist, MSW
• Jenwei Luu, MD
• Shari Lynn, M.ED.
• Lyons Care Associates, LLC
• Layla Lyons McCann, LCSW
• Daniel Eamon Macdevitt
• Evelyn Macintyre

• Specialist in Wailuku, HI
• Providers in Wailuku, HI by specialty
• Specialist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.