Doctor Name: | NELSON J MEDINA |
NPI Number: | 1114046315 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 3841 |
Business Practice Address: | 13 Calle Antonio Alcazar Florida, PR - 006501913 |
Business Phone Number: | 7878220704 |
Business Fax Number: | 7878221996 |
Mailing Address: | Urb. Las Vegas, Calle 1 # A-10 FLORIDA |
State: | PR |
Postal Code: | 00650 |
Phone Number: | 7873760775 |
Fax Number: | 7878221996 |
NPI Enumeration Date: | 03/28/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 183700000X |
License Number: | 3841 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Pharmacy Service Providers |
Taxonomy Classification: | Pharmacy Technician |
Taxonomy Specialization: | |
Taxonomy Definition: | A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |