MANUEL MEDINA NPI 1073362760

NPI Information

  • NPI: 1073362760
  • Provider Name: MANUEL MEDINA
  • Classification: Clinic/Center - 261QR0200X
  • Specialization: Radiology
  • Entity Type: Organization
  • Address: ROAD PR-2 MARGINAL D-10
    URB. VILLA REAL
    VEGA BAJA, PR
    ZIP 00694
  • Phone: (787) 807-0900

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NPI Details

MANUEL MEDINA is a radiology clinic center in Vega Baja, PR. MANUEL MEDINA NPI is 1073362760. The provider is registered as an organization entity type.

The provider's business location address is:

ROAD PR-2 MARGINAL D-10
URB. VILLA REAL
VEGA BAJA, PR
ZIP 00694
Phone: (787) 807-0900
Fax: (787) 855-2729

The provider's authorized official is Mariely Gonzalez .
The authorized official title is Office Administrator and has the following contact phone number (787) 607-1591.

The enumeration date for this NPI number is 5/15/2024 and was last updated on 5/15/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM1200XClinic/CenterMagnetic Resonance Imaging (MRI)No
2261QR0200XClinic/CenterRadiologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11780652594MEDICAIDSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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