Active NPI
Lydia Carolyn Medina, O.D.
- Optometrist
- Guaynabo, PR
National Provider Identifier
1144532953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 444
- Practice address
- Metro Office Park # 3
Suite 108 PMB 206
Guaynabo, PR 00968-1704 - Phone
- (939) 218-1157
- NPI assigned
- Jul 8, 2010
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 444 | PR | Primary |
Addresses
Primary practice location
Metro Office Park # 3
Suite 108 PMB 206
Guaynabo, PR 00968-1704
Mailing address
Metro Office Park # 3
Suite 108 PMB 206
Guaynabo, PR 00968-1704
Phone (939) 218-1157
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 |
|---|---|---|---|
| 444 | PR | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278547200000",
"number": "1144532953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "METRO OFFICE PARK # 3",
"address_2": "SUITE 108 PMB 206",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009681704",
"telephone_number": "939-218-1157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "METRO OFFICE PARK # 3",
"address_2": "SUITE 108 PMB 206",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009681704",
"telephone_number": "939-218-1157"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDINA",
"first_name": "LYDIA",
"middle_name": "CAROLYN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-08",
"last_updated": "2010-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PR",
"license": "444",
"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 Jul 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.