Keyla Mariano-Mejia

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

2870 Issued in PR

Practice address

Carr 686 Industrial Park 1783-2a
Vega Baja, PR 00693

Phone

(787) 858-0434

NPI assigned

Dec 31, 2015

Last updated

Jun 25, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1451520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529884800000",
    "number": "1184089419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1320",
            "city": "SABANA SECA",
            "state": "PR",
            "postal_code": "009521320",
            "telephone_number": "787-858-0434",
            "fax_number": "787-858-0434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 686 INDUSTRIAL PARK 1783-2A",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "00693",
            "telephone_number": "787-858-0434"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "48 Calle Jose Julian Acosta",
            "address_purpose": "LOCATION",
            "city": "Vega Baja",
            "state": "PR",
            "postal_code": "006934467",
            "country_code": "US",
            "telephone_number": "787-858-0434",
            "fax_number": "787-858-0434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARIANO-MEJIA",
        "first_name": "KEYLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-31",
        "last_updated": "2018-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "2870",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PR",
            "license": "2870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda E Maldonado Berrios
• Camille Maldonado
• Manuel Medina (Advanced MRI & CT Institute)
• Luz Maria Marcano
• Vicotr Julio Mariano Mercedes, M.D.
• Randy Omar Marquez Caban, M.D.
• Yamil Marrero Cordova
• Julia Evelyn Marrero
• Nilda Marrero, MS
• Bethsaida Martinez de Leon

• Counseling Psychologist in Vega Baja, PR
• Providers in Vega Baja, PR by specialty
• Counseling Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.