Loida S Medina is a Specialist in Benton Harbor, Michigan. Loida S Medina practices all healthcare services and medical treatments related to Specialist. The NPI Number for Loida S Medina is 1659312932. The last update date is 2007-07-09.
Loida S Medina's current location address is 1850 Pipestone Rd, Benton Harbor, Michigan. You can contact this provider via phone number 2699256600 and fax number 2699259528. The mailing address for Loida S Medina is 1850 Pipestone Rd, Benton Harbor, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Loida S Medina |
|---|---|
| Address | 1850 Pipestone Rd, Benton Harbor, Michigan |
| Phone Number | 2699256600 |
| Fax Number | 2699259528 |
| Sole Proprietor | X |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1659312932 |
|---|---|
| Provider Enumeration Date | 2006-06-09 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 1850 Pipestone Rd |
|---|---|
| City | Benton Harbor |
| State | Michigan (MI) |
| Post Code | 490222304 |
| Phone Number | 2699256600 |
| Fax Number | 2699259528 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 4301037695 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 101100342 | MI | BCBS PIN NUMBER |
Post Comment/ Review Below
What is the unique identification code assigned to Loida S Medina by the Centers for Medicare & Medicaid Services?
The Loida S Medina has been issued the NPI (National Provider Identifier) 1659312932. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Loida S Medina?
The Loida S Medina is physically situated at 1850 Pipestone Rd, in the city of Benton Harbor, state of MI, with the postal code 490222304.
What is Loida S Medina's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Loida S Medina is Specialist, and the corresponding taxonomy classification code for this specialized field is 174400000X.
On what date did the Loida S Medina receive the assignment of its 1659312932 from the Centers for Medicare & Medicaid Services?
The Loida S Medina was issued its 1659312932 by the Centers for Medicare & Medicaid Services on 2006-06-09.
When was the information regarding Loida S Medina, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Loida S Medina, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-09.