DR. MANUEL MEDINA (NPI# 1205814761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205814761 |
| Entity Type | Individual |
| Full Name | DR. MANUEL MEDINA |
| Credential | M.D. |
| Practice Address |
Carr. #2 Marginal Urb. Villa Real D-10 Vega Baja PR 00693 |
| Mailing Address |
Po Box 1498 Vega Baja PR 00694-1498 |
| Practice Telephone | 7878070900 |
| Practice Fax Number | 7878552729 |
| Enumeration Date | 2006-01-05 |
| Last Update Date | 2008-03-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
13446 | PR | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740345404 | Manuel L. Medina | Social Worker | 4020 N Zapotec Ave, Eloy, AZ 85231-1160 | 2006-12-23 |
| 1952498867 | Manuel Medina IIi | Family Medicine | 610 W 17th St, Santa Ana, CA 92706-3621 | 2006-10-10 |
| 1922005701 | Manuel Medina | Surgery | 1801 Ave Ponce De Leon, Suite 304, San Juan, PR 00909-1900 | 2005-07-07 |
| 1538792577 | Manuel Medina | Social Worker | 3414 W 84th St Ste 100, Hialeah Gardens, FL 33018-4932 | 2020-02-18 |
| 1003454307 | Manuel J Medina | Behavior Technician | 2700 S Shartel Ave, Oklahoma City, OK 73109-2234 | 2019-12-17 |
| 1558651935 | Manuel Medina | Student in an Organized Health Care Education/Training Program | 1801 Ave Ponce De Leon, San Juan, PR 00909-1900 | 2011-04-19 |
| 1629004700 | Manuel Medina | Anesthesiology | 355 Bard Ave, Staten Island, NY 10310 | 2006-06-23 |
| Street Address |
CARR. #2 MARGINAL URB. VILLA REAL D-10 |
| City | VEGA BAJA |
| State | PR |
| Zip Code | 00693 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548860356 | Artech Dental Psc | Dentist | 454 Carr. 155 Km 68.1, Bo. Algarrobo, Vega Baja, PR 00693 | 2020-10-30 |
| 1912504580 | Nathaly A. Schelmetty Diaz | Occupational Therapy Assistant | Brisas De Tortuguero, Calle Rio Bairoa #32, Vega Baja, PR 00693 | 2020-10-06 |
| 1487261665 | Yaritza Edith Camacho Ortiz | Speech-Language Pathologist | Carr. 160 Barrio Almirante Norte, Sector El Indio C/casimar #296, Vega Baja, PR 00693 | 2020-09-30 |
| 1285241216 | Ada O. Jove | Pharmacist | Carr. #2 Kin 429 Bo Deliqarubc, Vega Pega, PR 00693 | 2020-09-24 |
| 1982219028 | Nahara Monroig Gutierrez | Physical Therapist | Ciudad Real C/ Alva 451, Vega Baja, PR 00693 | 2020-09-15 |
| 1891305876 | Nicole Marie Febles | Student in an Organized Health Care Education/Training Program | Calle 2 B30 Vega Baja Lakes, Vega Baja, PR 00693 | 2020-08-05 |
| 1174132955 | Adriana Carolina Candelaria Jimenez | Student in an Organized Health Care Education/Training Program | 433 Calle Tulane, Estancias De Tortuguero, Vega Baja, PR 00693 | 2020-07-28 |
| 1730705898 | Karen Armaiz Sanchez | General Practice | Urb. Vega Serena Calle Lucia, 444, Vega Baja, PR 00693 | 2020-06-24 |
| 1265058846 | Platinum Group Primary Care Services | Clinic/Center | Carr #2 Km 39.7, Vega Baja, PR 00693 | 2020-06-19 |
| 1699391276 | North In Hospital Physicians | Case Manager/Care Coordinator | Carretera Num 2 Km 39.7, Vega Baja, PR 00693 | 2020-06-19 |
| Find all providers in zip 00693 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467625301 | Radhealth Inc. | Radiology | Road Pr 2 Marginal D-10, Urb. Villa Real, Vega Baja, PR 00693 | 2008-04-11 |
| 1265458558 | Vega Baja Imaging Psc | Radiology | 3998 Carr 2 Ste 2, Vega Baja, PR 00693-4140 | 2006-07-13 |
| 1700878394 | Centro Radiologico De Vega Baja | Radiology | 3998 Carr 2, Sect. El Criollo, Vega Baja, PR 00693-4140 | 2005-08-18 |
| 1619993987 | Vega Baja Radiology Psc | Radiology | 3998 Carr 2, Vega Baja, PR 00693-4140 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396344750 | Gr Radiology, Psc | Radiology | 555 Calle Monserrate Apt 1401, San Juan, PR 00907-2677 | 2020-10-18 |
| 1528531746 | David Whitehouse | Radiology | Plaza Salcedo Suite 4, Carr 109 Km 2.5, Anasco, PR 00610 | 2019-01-10 |
| 1215408927 | Hospital Espanol Auxilio Mutuo De Puerto Rico, Inc. | Radiology | 715 Ave Ponce De Leon Stop 37.5, San Juan, PR 00917-5032 | 2018-12-07 |
| 1235608514 | Mediko Imaging Inc. | Radiology | Calle Victoria #12, Barrio Tejas, Humacao, PR 00791 | 2018-11-16 |
| 1952884702 | Plg Breast Imaging Services, Psc | Radiology | Sendero Estates, 10 Sendero Drive, San Juan, PR 00926 | 2018-09-07 |
| 1760972756 | San Cristobal Oncology Services Inc | Radiology | 1000 Tito Castro Blvd, Ponce, PR 00716 | 2018-05-15 |
| 1962908723 | Ir Xolutions LLC | Radiology | Carr 152 Int 803 Km 10.1, Naranjito, PR 00719 | 2018-04-02 |
| 1497258339 | Cmt Group, Corp | Radiology | Urb University Gardens, 300 Calle Clemson, San Juan, PR 00919 | 2018-03-16 |
| 1013459221 | Juan Miguel Delgado | Radiology | Street 348 Estancias De San Benito, 701, Mayaguez, PR 00680 | 2016-11-07 |
| 1023492568 | Manuel Betancourt Torres | Radiology | B89 Calle Rio Canovanillas, Urb. River Edge Hills, Luquillo, PR 00773 | 2015-07-15 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.