JUAN R. MEDINA MORELL – NPI #1063976116
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

JUAN MEDINA MORELL is a physician located in RIO PIEDRAS, PR. NPPES has assigned the NPI number 1063976116 to JUAN MEDINA MORELL on January 23, 2019. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 4 years ago on Dec 27, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JUAN MEDINA MORELL below.

NPI Profile for
JUAN R. MEDINA MORELL

NPI Number
1063976116
Enumeration Date

(more than 7 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JUAN R. MEDINA MORELL
Primary location
1008 AVE AMERICO MIRANDA
RIO PIEDRAS, PR 00921-2842
Phone: (829) 717-8822 Fax:
Mailing address
PO BOX 79191
CAROLINA, PR 00984-9191
Phone: (829) 717-8822 Fax:
Sole Proprietor
Yes
Updated
Certification Date
Dec 27, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)
PR 15480-I
390200000X
- Student in an Organized Health Care Education/Training Program

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.