Dr Juan Israel Medina Jr, DDS MS - Medicare Dentist in San Juan, PR

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Dr Juan Israel Medina Jr, DDS MS is a medicare enrolled "Dentist - Prosthodontics" provider in San Juan, Puerto Rico. His current practice location is Ponce De Leon #735 Torre Medico Dental Auxilio Mutuo, Suite #607, San Juan, Puerto Rico. You can reach out to his office (for appointments etc.) via phone at (787) 767-7850.

Dr Juan Israel Medina Jr is licensed to practice in Puerto Rico (license number 2076) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1588637359.

Contact Information

Dr Juan Israel Medina Jr, DDS MS
Ponce De Leon #735 Torre Medico Dental Auxilio Mutuo, Suite #607,
San Juan, PR 00917-5028
(787) 767-7850
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Juan Israel Medina Jr
GenderMale
SpecialityDentist - Prosthodontics
LocationPonce De Leon #735 Torre Medico Dental Auxilio Mutuo, San Juan, Puerto Rico
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1588637359
  • Provider Enumeration Date: 02/10/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 7719278159
  • Enrollment ID: I20160615001610

Medical Identifiers

Medical identifiers for Dr Juan Israel Medina Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588637359NPI-NPPES
206674OtherPRUTI
42135MEOtherPRSSS
9690066OtherPRHUMANA
041823OtherCRUZ AZUL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223P0700XDentist - Prosthodontics 2076 (Puerto Rico)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Juan Israel Medina Jr is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Juan Israel Medina Jr, DDS MS
Torre Medico Dental Auxilio Mutuo, Suite #607 Ponce De Leon #735,
San Juan, PR 00917-5028

Ph: (787) 767-7850		Dr Juan Israel Medina Jr, DDS MS
Ponce De Leon #735 Torre Medico Dental Auxilio Mutuo, Suite #607,
San Juan, PR 00917-5028

Ph: (787) 767-7850

Reviews and Comments


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