Juan Israel Medina in San Juan - Prosthodontics
Juan Israel Medina - NPI 1588637359
Juan Israel Medina is a Prosthodontics in San Juan, Puerto Rico. Juan Israel Medina practices all healthcare services and medical treatments related to Prosthodontics. The NPI Number for Juan Israel Medina is 1588637359. The last update date is 2007-07-08.
Juan Israel Medina's current location address is Torre Medico Dental Auxilio Mutuo, San Juan, Puerto Rico. You can contact this provider via phone number 7877677850. The mailing address for Juan Israel Medina is Torre Medico Dental Auxilio Mutuo, San Juan, Puerto Rico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Juan Israel Medina |
|---|---|
| Address | Torre Medico Dental Auxilio Mutuo, San Juan, Puerto Rico |
| Phone Number | 7877677850 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | D.D.S. M.S |
NPI Number Detail
| NPI Number | 1588637359 |
|---|---|
| Provider Enumeration Date | 2006-02-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Torre Medico Dental Auxilio Mutuo |
|---|---|
| City | San Juan |
| State | Puerto Rico (PR) |
| Post Code | 9175028 |
| Phone Number | 7877677850 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Prosthodontics |
|---|---|
| Taxonomy | 1223P0700X |
| Licence No | 2076 |
|
Definition: That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 206674 | PR | UTI | |
| 42135ME | PR | SSS | |
| 9690066 | PR | HUMANA | |
| 41823 | CRUZ AZUL |
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What is the unique 10-digit identification code issued to Juan Israel Medina by the Centers for Medicare & Medicaid Services?
The Juan Israel Medina has been assigned the NPI (National Provider Identifier) 1588637359 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Juan Israel Medina located?
The Juan Israel Medina is located at Torre Medico Dental Auxilio Mutuo, San Juan, PR 9175028.
What is the Juan Israel Medina's area of specialization and corresponding taxonomy classification?
The Juan Israel Medina's specialty field is Prosthodontics, and it falls under the taxonomy code 1223P0700X, which categorizes healthcare providers based on their specialties.
On what date did the Juan Israel Medina receive the assignment of its 1588637359 from the Centers for Medicare & Medicaid Services?
The Juan Israel Medina was issued its 1588637359 by the Centers for Medicare & Medicaid Services on 2006-02-10.
When was the information related to Juan Israel Medina most recently updated or refreshed?
The details pertaining to the Juan Israel Medina, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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