Provider Demographics
NPI:1962363481
Name:DR CESAR H MEDINA INC
Entity type:Organization
Organization Name:DR CESAR H MEDINA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:CESAR
Authorized Official - Middle Name:HUMBERTO
Authorized Official - Last Name:MEDINA QUINONES
Authorized Official - Suffix:
Authorized Official - Credentials:DOCTOR EN MEDICINA G
Authorized Official - Phone:787-898-5182
Mailing Address - Street 1:HC 4 BOX 17078
Mailing Address - Street 2:
Mailing Address - City:CAMUY
Mailing Address - State:PR
Mailing Address - Zip Code:00627-9531
Mailing Address - Country:US
Mailing Address - Phone:787-898-5182
Mailing Address - Fax:787-898-4154
Practice Address - Street 1:6 CALLE ESTRELLA S
Practice Address - Street 2:
Practice Address - City:CAMUY
Practice Address - State:PR
Practice Address - Zip Code:00627-2600
Practice Address - Country:US
Practice Address - Phone:787-898-5182
Practice Address - Fax:787-898-4154
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-24
Last Update Date:2025-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty