Individual provider · Type 1 NPI

Ivan Medina

Student in an Organized Health Care Education/Training Program · Miami, FL

NPI number 1497744874 Active

Practice location

15043 S Dixie Hwy
Miami, FL 33176-7930

Call (305) 238-2474 Map

Mailing address

18084 SW 152nd Pl
Miami, FL 33187-7753

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X15106 (FL)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1497744874

Ivan Medina's National Provider Identifier is 1497744874, issued on Oct 18, 2005. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Miami, FL. The record was last updated on Jul 13, 2026.