Ivan J Medina
Ivan J Medina is a Homemaker in Toa Alta, Puerto Rico. Practices as a sole proprietor. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address may be wrong
Ciudad Jardin Iii 197 Calle FlamboyanToa Alta, PR 00953
Phone: (787) 506-8499
Fax: (787) 279-4652
No coordinates on file. Search this address in Google Maps
Specialties & licences
| Homemaker (primary) | Taxonomy 376J00000X |
|---|
Record details
| NPI number | 1912545187 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | December 18, 2019 |
| Last updated in NPPES | December 18, 2019 |
| Certification date | December 18, 2019 |
| Mailing address | Ciudad Jardin Iii, 197 Calle Flamboyan, Toa Alta, PR 00953 |