Search › Nebraska › 3747P1801X
Roque Medina
NPI 1013806009 · on the registry since 2025 · sole proprietor
Practice
- Address
- 3123 Fontenelle Blvd
Omaha, NE 68104 - Phone
- (512) 792-8857
Registry record
- Primary taxonomy
- 3747P1801X
3747P1801X
- Sex
- Male
- Record last updated
- 2025-07-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nebraska