| Doctor Name: | MS. DORIS G MEDINA |
| NPI Number: | 1760635106 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LND,RD |
| License Number: | 684 |
| Business Practice Address: | 480 Calle Juan Kepler Urb.tulipan San Juan, PR - 009264431 |
| Business Phone Number: | 7877773535 |
| Business Fax Number: | 7877568907 |
| Mailing Address: | 480 Calle Juan Kepler, Urb.tulipan SAN JUAN |
| State: | PR |
| Postal Code: | 009264431 |
| Phone Number: | 7877773535 |
| Fax Number: | 7877568907 |
| NPI Enumeration Date: | 10/29/2008 |
| NPI Last Update Date: | 10/29/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 684 |
| 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 |