Active NPI
Michelle Amnerys Mejia
- Family Medicine Physician
- Guaynabo, PR
National Provider Identifier
1053169128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 173
- Practice address
- C5 Calle Acuarela
Guaynabo, PR 00969-3525 - Phone
- (787) 998-7899
- NPI assigned
- May 13, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 173 | PR | Primary |
Addresses
Primary practice location
C5 Calle Acuarela
Guaynabo, PR 00969-3525
Mailing address
Reparto Universitario Calle Citadel 356
Rio Piedras, PR 00926
Phone (787) 983-4219
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 173 | PR | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715558400000",
"number": "1053169128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "REPARTO UNIVERSITARIO CALLE CITADEL 356",
"city": "RIO PIEDRAS",
"state": "PR",
"postal_code": "00926",
"telephone_number": "787-983-4219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "C5 CALLE ACUARELA",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009693525",
"telephone_number": "787-998-7899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEJIA",
"first_name": "MICHELLE",
"middle_name": "AMNERYS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-05-13",
"last_updated": "2024-05-13",
"certification_date": "2024-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PR",
"license": "173",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Guaynabo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.