Active NPI
Yiraima E. Medina-Blasini, M.D.
- Emergency Medicine Physician
- Ponce, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 18422
- Practice address
- Avenida Tito Castro #917
Ponce, PR 00733-6810 - Phone
- (787) 844-2080
- NPI assigned
- Jul 31, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 18422 | PR | Primary |
| Pediatric Emergency Medicine (Pediatrics) Physician | 2080P0204X | ME124326 | FL |
Addresses
Primary practice location
Avenida Tito Castro #917
Ponce, PR 00733-6810
Mailing address
Avenida Tito Castro #917
Ponce, PR 00733-6810
Phone (787) 844-2080
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18422 | PR | MD | Emergency Medicine Physician |
| ME124326 | FL | MD | Pediatric Emergency Medicine (Pediatrics) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Services of FL, LLC | Emergency Medicine | Current | Accepting new patients |
| Hospital Medicine Services of FL, LLC | Current | Accepting new patients | |
| Paragon Emergency Services LLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Physician Solutions of South Florida, LLC | Emergency Medicine | Past | Accepting new patients |
Locations
322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858
10915 NW 41st St
Doral, FL 33178
Phone (305) 227-5548
1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000
14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929
3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404
700 W Oak St
Kissimmee, FL 34741
Phone (407) 518-3553
340 NW Commerce Dr
Lake City, FL 32055
Phone (386) 719-9000
5301 S Congress Ave
Lantana, FL 33462
Phone (561) 548-3549
11800 Sherri Ln
Miami, FL 33183
Phone (305) 227-5579
11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015
105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Aventura, FL
- NPI 1043917180
-
- Hospitalist Physician
- Aventura, FL
- NPI 1710684857
-
- Emergency Medicine Physician
- Winter Haven, FL
- NPI 1912101650
-
- Emergency Medicine Physician
- Miami, FL
- NPI 1134541618
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443830400000",
"number": "1083870976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "AVENIDA TITO CASTRO #917",
"city": "PONCE",
"state": "PR",
"postal_code": "007336810",
"telephone_number": "787-844-2080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVENIDA TITO CASTRO #917",
"city": "PONCE",
"state": "PR",
"postal_code": "007336810",
"telephone_number": "787-844-2080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDINA-BLASINI",
"first_name": "YIRAIMA",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-31",
"last_updated": "2015-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PR",
"license": "18422",
"primary": true
},
{
"code": "2080P0204X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Emergency Medicine",
"state": "FL",
"license": "ME124326",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ponce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.