AIDA EUGENIA MEDINA MD
NPI 1407691223
General Practice in San Juan, PR
About Aida Eugenia Medina Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AIDA EUGENIA MEDINA MD (NPI 1407691223) is an individual general practice provider in San Juan, Puerto Rico, licensed in Puerto Rico (023948) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Aida Eugenia Medina Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Aida Medina reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lares, PR 00669
- Reassigned Medicare billing, Puerto Rico enrollment
- Also billed through NPI 1235179532 (Puerto Rico)
- 43 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Aida Medina's NPI number?
The NPI number for Aida Medina is 1407691223. It was assigned to this individual provider in the NPPES registry on June 25, 2024.
Where is Aida Medina located?
Aida Medina practices at 1692 Calle Portugues, San Juan, PR 00926. The listed phone number is (787) 466-8059.
What is Aida Medina's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Aida Medina enrolled in Medicare?
Yes. Aida Medina is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Aida Medina's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Aida Medina reassigns Medicare benefits to Centro De Salud De Lares, Inc. (Lares, PR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Aida Medina's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Aida Medina was last updated on June 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Aida Eugenia Medina, MD · NPI 1407691223
General Practice physician in San Juan, Puerto Rico. Individual provider, active in the CMS NPPES registry since June 25, 2024.
## Identity
- **NPI:** 1407691223 (Entity type: Individual)
- **Enumerated:** June 25, 2024
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **State license:** 023948 (Puerto Rico)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1692 CALLE PORTUGUES, San Juan, PR 00926-3116
- **Phone:** (787) 466-8059
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Centro De Salud De Lares, Inc. (NPI 1417907502, Lares, PR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** June 21, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1407691223) · Data from the CMS NPPES public registry.