Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
IVAN J MEDINA
Active Sole ProprietorIVAN J MEDINA is a Homemaker healthcare provider located in TOA ALTA, Puerto Rico. NPI 1912545187 is currently active in the NPPES registry. Verify at CMS.
Homemaker · TOA ALTA, PR
Registration Details
- NPI Number
- 1912545187
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 18, 2019 (6.6470780535305 yrs)
- Last Updated
- Dec 18, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
CIUDAD JARDIN III197 CALLE FLAMBOYANTOA ALTA, PR, 00953Browse PR providers · Browse ZIP 00953
- Phone
- 7875068499
- Fax
- 7872794652
- Primary Specialty
-
Homemaker
376J00000X
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.