1. Home
  2. Directory
  3. Florida
  4. Miami
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. IVAN MEDINA
NPI 1497744874
Student in an Organized Health Care Education/Training Program in Miami, FL

Active since October 18, 2005
15043 S DIXIE HWY, MIAMI, FL 33176(305) 238-2474 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Ivan Medina NPPES

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

MR. IVAN MEDINA (NPI 1497744874) is an individual student in an organized health care education/training program in Miami, Florida, licensed in Florida (15106) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1497744874
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. IVAN MEDINA
Location Address15043 S DIXIE HWYMiami, FL 33176-7930
Mailing Address18084 Sw 152nd PlMiami, FL 33187-7753 · (305) 608-6887
Phone(305) 238-2474
Sole ProprietorNo
Enumeration DateOctober 18, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1497744874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in FL · 15106
Definition
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.
15043 S DIXIE HWY, Miami, FL 33176
Open in Google Maps ↗

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MY PHARMACY, INC.
Pharmacy
15043 S DIXIE HWY
MIAMI, FL 33176
Miami-Dade County (305) 238-2474
WALGREEN CO.
Pharmacy
15043 S DIXIE HWY
PALMETTO BAY, FL 33176
Miami-Dade County (786) 573-5177
MY PHARMACY CLOSED DOOR PHARMACY
Pharmacy (Long Term Care Pharmacy)
15043 S DIXIE HWY, SUITE A
PALMETTO BAY, FL 33176
Miami-Dade County (305) 238-2474
DR. CHERYL KONAWICZ PHARM.D.
Pharmacist
15043 S DIXIE HWY
MIAMI, FL 33176
Miami-Dade County (786) 573-5177
DR. GABRIELA KIBORT PHARM,D.
Pharmacist
15043 S DIXIE HWY
PALMETTO BAY, FL 33176
Miami-Dade County (786) 573-5177

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 Ivan Medina's NPI number?

The NPI number for Ivan Medina is 1497744874. It was assigned to this individual provider in the NPPES registry on October 18, 2005.

Where is Ivan Medina located?

Ivan Medina practices at 15043 S Dixie Hwy, Miami, FL 33176. The listed phone number is (305) 238-2474.

What is Ivan Medina's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Ivan Medina was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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.