Doctor Name: | MS. PATRICIA MEDINA |
NPI Number: | 1639103278 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.D. C.D.E. |
License Number: | 436406 |
Business Practice Address: | 345 Ave Hostos Mopc Veterans Outpatient Clinic Mayaguez, PR - 006801507 |
Business Phone Number: | 7878346900 |
Business Fax Number: | 7872658809 |
Mailing Address: | Estancias Del Parra #127, LAJAS |
State: | PR |
Postal Code: | 00667 |
Phone Number: | 7874738292 |
Fax Number: | |
NPI Enumeration Date: | 07/10/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 436406 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |