Jose F Medina, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

4983 Issued in PR

Practice address

18 Calle Bou
Barrio Pueblo
Corozal, PR 00783-2011

Phone

(787) 859-4503

NPI assigned

Mar 12, 2007

Sex

Male

Sole proprietor

No

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

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404691200000",
    "number": "1811029143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 848",
            "city": "COROZAL",
            "state": "PR",
            "postal_code": "007830848",
            "telephone_number": "787-859-4503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 CALLE BOU",
            "address_2": "BARRIO PUEBLO",
            "city": "COROZAL",
            "state": "PR",
            "postal_code": "007832011",
            "telephone_number": "787-859-4503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "JOSE",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-12",
        "last_updated": "2014-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "4983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MD Radiological Services, PSC
• MD Radiology Services PSC (Centro Medico Profesional de la Salud)
• Medfreh PSC
• Amarilis Mediavilla
• Maria E Medina Oliveras, MD
• Mercado Health LLC
• Adalberto Molina, OD
• Yamil Morales Garcia, OTA/L
• Ashley Ann Morales Rivera, DC
• Marie Yelitza Morales

• General Practice Physician in Corozal, PR
• Providers in Corozal, 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 Jul 7, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.