Roberto Carlos Jesus Medina Matos, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

007012 Issued in PR

Practice address

Carolina Shopping Court, Local 103-B
Ave 65TH de Infanteria Esq. Roberto Clemente
Carolina, PR 00987

Phone

(787) 767-2626

Fax

(787) 767-2626

NPI assigned

Feb 23, 2022

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1645574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645574400000",
    "number": "1831845403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UNIVERSITY GARDENS AUSUBO ST. J-23",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006127833",
            "telephone_number": "787-237-0610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CAROLINA SHOPPING COURT, LOCAL 103-B",
            "address_2": "AVE 65TH DE INFANTERIA ESQ. ROBERTO CLEMENTE",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00987",
            "telephone_number": "787-767-2626",
            "fax_number": "787-767-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA MATOS",
        "first_name": "ROBERTO",
        "middle_name": "CARLOS JESUS",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-23",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "007012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medical Management & Consulting Group LLC
• Medical Management & Data Services, Inc.
• Medicina Primaria Avanzada PSC
• Medicine Internal Dra Sara Acevedo CSP
• Claudia Alejandra Medina Luna, PSICOLOGA
• Javier Medina Mendez
• Milane Somary Medina Ortiz, LND, MHSN, DE-PR
• Norberto Medina Pellicer, DMD
• Josiel Medina Zayas, M.D.
• Carlos Xavier Medina-Perez

• Pharmacist in Carolina, PR
• Providers in Carolina, PR by specialty
• Pharmacist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; 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.