Provider Demographics
NPI:1548657604
Name:RAY, MADINA (MD)
Entity type:Individual
Prefix:
First Name:MADINA
Middle Name:
Last Name:RAY
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2255 GLADES RD STE 228W
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431-7391
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1025 MILITARY TRL STE 200
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-7040
Practice Address - Country:US
Practice Address - Phone:561-747-1987
Practice Address - Fax:561-747-1313
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-16
Last Update Date:2024-03-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY296848207RR0500X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine