MR. Ivan Medina is a student in an organized health care education training program in Miami, FL. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. MR. Ivan Medina NPI is 1497744874. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
15043 S DIXIE HWY
MIAMI, FL
ZIP 33176-930
Phone: (305) 238-2474
The enumeration date for this NPI number is 10/18/2005 and was last updated on 7/8/2007.