Samuel Medina

Primary specialty

PharmacistTaxonomy code 183500000X

License

2199 Issued in PR

Practice address

C18 Calle 5
Estancias de San Fernando
Carolina, PR 00985-5215

Phone

(787) 438-4798

Fax

(787) 768-4977

NPI assigned

Jan 3, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962569392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "C18 CALLE 5",
            "address_2": "ESTANCIAS DE SAN FERNANDO",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009855215",
            "telephone_number": "787-438-4798",
            "fax_number": "787-768-4977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "C18 CALLE 5",
            "address_2": "ESTANCIAS DE SAN FERNANDO",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009855215",
            "telephone_number": "787-438-4798",
            "fax_number": "787-768-4977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "SAMUEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "2199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENCE",
            "identifier": "0720683",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Milane Somary Medina Ortiz, LND, MHSN, DE-PR
• Norberto Medina Pellicer, DMD
• Josiel Medina Zayas, M.D.
• Carlos Xavier Medina-Perez
• Ivelisse Medina
• Zaida Medina, BA
• Zoraida Medina
• Medsci Diagnostics Inc
• Sherlie Mejia, SPL
• Ana H. Mejias - Soto, MD

• 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 Jul 8, 2007; 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.