Otto R Medinilla in Wilmington - Physician Assistant
Otto R Medinilla - NPI 1649259540
Otto R Medinilla is a Physician Assistant in Wilmington, Delaware. Otto R Medinilla practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Otto R Medinilla is 1649259540. The last update date is 2020-12-01.
Otto R Medinilla's current location address is Po Box 3048, Wilmington, Delaware. You can contact this provider via phone number 3022245678 and fax number 3022242848. The mailing address for Otto R Medinilla is Po Box 3048, Wilmington, Delaware. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Otto R Medinilla |
|---|---|
| Address | Po Box 3048, Wilmington, Delaware |
| Phone Number | 3022245678 |
| Fax Number | 3022242848 |
| Sole Proprietor | Y |
| Credentials | PAC |
NPI Number Detail
| NPI Number | 1649259540 |
|---|---|
| Provider Enumeration Date | 2006-01-10 |
| Last Updated Date | 2020-12-01 |
Provider Mailing Address Detail
| Address | Po Box 3048 |
|---|---|
| City | Wilmington |
| State | Delaware (DE) |
| Post Code | 19804 |
| Phone Number | 3022245678 |
| Fax Number | 3022242848 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | C50000198 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1000036903 | DE | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Otto R Medinilla by the Centers for Medicare & Medicaid Services?
The Otto R Medinilla has been assigned the NPI (National Provider Identifier) 1649259540. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Otto R Medinilla's physical address?
The Otto R Medinilla is physically located at Po Box 3048, in the city of Wilmington, DE, with the postal code 19804.
What is Otto R Medinilla's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Otto R Medinilla is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1649259540 to Otto R Medinilla?
The Centers for Medicare & Medicaid Services originally issued the 1649259540 to Otto R Medinilla on 2006-01-10.
As of what date were the Otto R Medinilla's details last updated?
The information pertaining to the Otto R Medinilla, including its address, specialty, and other details, was most recently updated on 2020-12-01.