Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ROBERTO E MEDINA, CCP
ActiveROBERTO E MEDINA, CCP is a Orthotic Fitter healthcare provider located in LAS CRUCES, New Mexico. NPI 1356525091 is currently active in the NPPES registry. Verify at CMS.
Orthotic Fitter · LAS CRUCES, NM
Registration Details
- NPI Number
- 1356525091
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 18, 2007 (18.612880551187 yrs)
- Last Updated
- Dec 18, 2007
- License
-
PF0495 (TX)
Practice Information
- Address
-
4604 SANDALWOOD DRLAS CRUCES, NM, 880119627Browse NM providers · Browse ZIP 88011
- Phone
- 5055222418
- Primary Specialty
-
Orthotic Fitter
242T00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.