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Contact Information

EDMOND MEDINA, MD
P12 AVE MAGNOLIA
BAYAMON, PR00956-2608
 Phone: 787-785-9282
 Fax: 787-785-9290
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for EDMOND MEDINA · (Male)

NPI # 1275521312
Status Active
Credentials MD
Entity Individual
Enumeration date 10/12/2005
Last updated 08/18/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • PR License # 095
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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