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MARA LEE MEDINA
NPI 1447865530
General Practice in Mayaguez, PR

Active since September 15, 2020PECOS Enrolled
15 CALLE DOCTOR BASORA, MAYAGUEZ, PR 00681(787) 834-0101 Get Directions Write a Review

NPPES record last updated: September 15, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mara Lee Medina NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARA LEE MEDINA (NPI 1447865530) is an individual general practice provider in Mayaguez, Puerto Rico, licensed in Puerto Rico (021964) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447865530
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameMARA LEE MEDINA
Location Address15 CALLE DOCTOR BASORAMayaguez, PR 00681
Mailing AddressPo Box 387San Antonio, PR 00690-0387 · (787) 975-2520
Phone(787) 834-0101
Sole ProprietorYes
Enumeration DateSeptember 15, 2020
NPPES CertifiedSeptember 13, 2020
✔ NPI 1447865530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Licenses✔ Licensed in PR · 021964✔ Licensed in PR · 21964
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mara Lee Medina is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions

What is Mara Medina's NPI number?

The NPI number assigned to this healthcare provider is 1447865530, enumerated as an "individual" on September 15, 2020.

Where is the provider located?

The provider is located at 15 CALLE DOCTOR BASORA MAYAGUEZ, PR 00681 and the phone number is (787) 834-0101.

What is the provider's specialty?

General Practice with taxonomy code 208D00000X.