Sixto R Medina, MD
Internal Medicine in Bayamon, PR. Individual provider (NPI-1).
NPI number1982151585
StatusActive
Last updated in NPPESFeb 13, 2026
Details
- NPI
- 1982151585
- Entity type
- Individual (NPI-1)
- Name
- Sixto R Medina
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 1, 2016
- Certification date
- Feb 13, 2026
- Last updated
- Feb 13, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 21430 | PR | Yes |
| 207R00000X | Internal Medicine | 308811-01 | NY | |
| 390200000X | Student in an Organized Health Care Education/Training Program | 32438 | PR |
Practice location
100 Laurel Ave.Santa Juanita
Bayamon, PR 00956
Phone 787-787-5151
Mailing address
2211 Lyell Ave Ste 111Rochester, NY 14606-5743
Other practice locations
2211 Lyell Ave Ste 111
Rochester, NY 14606-5743
Rochester, NY 14606-5743
Phone 585-429-6550 · Fax 585-429-7298
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