Active NPI
Manuel Medina, M.D.
- Surgery of the Hand (Surgery) Physician
- San Juan, PR
National Provider Identifier
1922005701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery of the Hand (Surgery) Physician
- License
- 6783
- Practice address
- 1801 Ave Ponce de Leon
Suite 304
San Juan, PR 00909-1900 - Phone
- (787) 268-3192
- Fax
- (787) 268-3191
- NPI assigned
- Jul 7, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery of the Hand (Surgery) Physician | 2086S0105X | 6783 | PR | Primary |
Addresses
Primary practice location
1801 Ave Ponce de Leon
Suite 304
San Juan, PR 00909-1900
Mailing address
1801 Ave Ponce de Leon
Suite 304
San Juan, PR 00909-1900
Phone (787) 268-3192
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090225000524 | PR | Practitioner - Hand Surgery | 3971604919 | Practice locations: Arecibo, PR; San Juan, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Hand Surgery
- Education
- San Juan Bautista School of Medicine, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1801 Ave Ponce de Leon
San Juan, PR 00909-1917
Phone (787) 268-3192
Hospital & facility affiliations
- Presbyterian Community Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 15 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Instituto de Manos CSP | Surgery of the Hand | Past | Accepting new patients |
| M.R. Medical, P.S.C. | Surgery of the Hand | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Surgery of the Hand (Surgery) Physician
- San Juan, PR
- NPI 1497808935
-
- Surgery of the Hand (Surgery) Physician
- San Juan, PR
- NPI 1730494493
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Juan, PR
- NPI 1770580813
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1922005701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 AVE PONCE DE LEON",
"address_2": "SUITE 304",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009091900",
"telephone_number": "787-268-3192",
"fax_number": "787-268-3191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 AVE PONCE DE LEON",
"address_2": "SUITE 304",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009091900",
"telephone_number": "787-268-3192",
"fax_number": "787-268-3191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDINA",
"first_name": "MANUEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0105X",
"taxonomy_group": "",
"desc": "Surgery, Surgery of the Hand",
"state": "PR",
"license": "6783",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.