Active NPI
Juan Carlos Medina, A.P
- Acupuncturist
- Coral Gables, FL
National Provider Identifier
1982873667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AP 2158
- Practice address
- 4250 SW 4TH St
Coral Gables, FL 33134-1924 - Phone
- (786) 487-7091
- Fax
- (305) 461-8568
- NPI assigned
- Feb 26, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AP 2158 | FL | Primary |
Addresses
Primary practice location
4250 SW 4TH St
Coral Gables, FL 33134-1924
Mailing address
4250 SW 4TH St
Coral Gables, FL 33134-1924
Phone (786) 487-7091
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP 2158 | FL | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203984000000",
"number": "1982873667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4250 SW 4TH ST",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331341924",
"telephone_number": "786-487-7091",
"fax_number": "305-461-8568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4250 SW 4TH ST",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331341924",
"telephone_number": "786-487-7091",
"fax_number": "305-461-8568"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDINA",
"first_name": "JUAN",
"middle_name": "CARLOS",
"credential": "A.P",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-26",
"last_updated": "2008-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "FL",
"license": "AP 2158",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coral Gables, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.