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

Mara Lee Medina

Individual provider General Practice Physician · NPI 1447865530

Mara Lee Medina is a General Practice Physician in Mayaguez, Puerto Rico. Practices as a sole proprietor. Licensed in Puerto Rico.

Licensed in
PR
In the registry since
2020
Specialties on file
2

Practice location Address may be wrong

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

15 Calle Doctor Basora
Mayaguez, PR 00681
Phone: (787) 834-0101

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 021964 (PR)
General Practice Physician Taxonomy 208D00000X · Licence 21964 (PR)

Record details

NPI number1447865530
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 15, 2020
Last updated in NPPESSeptember 15, 2020
Certification dateSeptember 13, 2020

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