Ubaldo Medina, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

16600 Issued in PR

Practice address

Carretera Numero 2 KM. 40.2
Plaza Jardines
Vega Baja, PR 00694-1450

Phone

(787) 855-0411

Fax

(787) 855-0285

NPI assigned

Sep 5, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

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

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

Specialty

General Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Salud Integral En la Montana IncGroup PAC ID 8527972827, shared by 11 NPIs, 64 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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

• Prymed Medical Care, Inc

  • Federally Qualified Health Center (FQHC)
  • Ciales, PR
  • NPI 1881661866
  Medicare reassignment NPD
• Salud Integral En la Montana, Inc

  • Federally Qualified Health Center (FQHC)
  • Orocovis, PR
  • NPI 1487677159

  General Practice

  Medicare reassignment NPD
• Salud Integral En la Montana, Inc

  • Federally Qualified Health Center (FQHC)
  • Naranjito, PR
  • NPI 1578586244
  Medicare reassignment NPD
• Prymed Medical Care Inc

  • Emergency Care Clinic/Center
  • Ciales, PR
  • NPI 1659992246
  NPD
• Salud Integral En la Montana, Inc.

  dba Centro Salud Integral en Dorado

  • Clinic/Center
  • Dorado, PR
  • NPI 1760371868
  NPD

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851494181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 BRISAS DEL NORTE",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006749820",
            "telephone_number": "787-884-7207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA NUMERO 2 KM. 40.2",
            "address_2": "PLAZA JARDINES",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006941450",
            "telephone_number": "787-855-0411",
            "fax_number": "787-855-0285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "UBALDO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "16600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medi-K Clinic
• Daniela Cristina Medina-Camacho, MS
• Evaristo Jaime Medina-Cucurella, M.D.
• Lucery Medina-Laureano, PHD
• Manuel Medina, M.D.
• Mega Medical Supply Corporation
• Sandinid Mejias, SLP
• Melao Chiropractic LLC
• Melendez Gastroenterology Institute, LLC
• Adelitza Melendez Valle

• General Practice Physician in Vega Baja, PR
• Providers in Vega Baja, 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 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.