Provider Demographics
NPI:1508305434
Name:MEDINA NALES, KARILYN (MD)
Entity Type:Individual
Prefix:DR
First Name:KARILYN
Middle Name:
Last Name:MEDINA NALES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:SAN JUAN CITY HOSPITAL GRADUATE MEDICAL EDUCATION
Mailing Address - Street 2:PO BOX 70344 PMB 498
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00936
Mailing Address - Country:US
Mailing Address - Phone:787-480-2791
Mailing Address - Fax:
Practice Address - Street 1:520 E DONEGAN ST
Practice Address - Street 2:
Practice Address - City:SEGUIN
Practice Address - State:TX
Practice Address - Zip Code:78155-6112
Practice Address - Country:US
Practice Address - Phone:830-379-6300
Practice Address - Fax:888-270-7559
Is Sole Proprietor?:No
Enumeration Date:2017-02-12
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR22206208D00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice