| Doctor Name: | RAUL MEDINA |
| NPI Number: | 1043464993 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | TC AMB 307 |
| Business Practice Address: | Calle Principal J23 Vistas De Luquillo Luquillo, PR - 00773 |
| Business Phone Number: | 7878890039 |
| Business Fax Number: | |
| Mailing Address: | Pmb 192 Box 70011, FAJARDO |
| State: | PR |
| Postal Code: | 00738 |
| Phone Number: | 7878890039 |
| Fax Number: | |
| NPI Enumeration Date: | 11/05/2008 |
| NPI Last Update Date: | 01/13/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | TC AMB 307 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |