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

Ivan J Medina

Individual provider Homemaker · NPI 1912545187

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

The ZIP code does not match the city and state on this record. Call before visiting.

Ciudad Jardin Iii 197 Calle Flamboyan
Toa Alta, PR 00953
Phone: (787) 506-8499
Fax: (787) 279-4652

Specialties & licences

Homemaker (primary) Taxonomy 376J00000X

Record details

NPI number1912545187
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 18, 2019
Last updated in NPPESDecember 18, 2019
Certification dateDecember 18, 2019
Mailing addressCiudad Jardin Iii, 197 Calle Flamboyan, Toa Alta, PR 00953