Individual provider · Type 1 NPI
Astrid Rocio Soares Medina
Pediatric Surgery Physician · Mayaguez, PR
NPI number
1639625783
Active
Practice location
2 Carr Puerto Rico, Av Hostos 410 Bo Sabalos Suite 116
Mayaguez, PR 00681-0000
Fax (787) 652-1833
Mailing address
100 E Gay St Unit 206
Columbus, OH 43215-3169
Other practice locations
- 100 E Gay St Unit 206, Columbus, OH 43215-3169 · (787) 717-8477
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Surgery Physician Primary | 2086S0120X | 19660 (PR) |
| Pediatric Surgery Physician | 2086S0120X | 57.027307 (OH) |
Pediatric Surgery Physician: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
About NPI 1639625783
Astrid Rocio Soares Medina's National Provider Identifier is 1639625783, issued on Aug 29, 2016. The primary taxonomy on file is Pediatric Surgery Physician (2086S0120X), and the practice location is in Mayaguez, PR. The record was last updated on Jul 10, 2019.