Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Raul Edgardo Medina, MD

Individual provider Family Medicine Physician · NPI 1497719983

Dr. Raul Edgardo Medina, MD is a Family Medicine Physician in Lake City, Florida. Licensed in Puerto Rico. Registered with an NPI since 2006.

Licensed in
PR
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

619 S Marion Ave VA Hospital
Lake City, FL 32025
Phone: (386) 755-3016
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 13584 (PR)

Record details

NPI number1497719983
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 13, 2006
Last updated in NPPESJune 26, 2009

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