Olwens Medina Gonzalez

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

93779 Issued in PR

Practice address

81 Portal del Valle
Juana Diaz, PR 00795

Phone

(787) 373-8273

NPI assigned

Sep 15, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1694736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779580800000",
    "number": "1194503771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 PORTAL DEL VALLE",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "00795",
            "telephone_number": "787-373-8273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 PORTAL DEL VALLE",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "00795",
            "telephone_number": "787-373-8273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA GONZALEZ",
        "first_name": "OLWENS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-15",
        "last_updated": "2026-05-24",
        "certification_date": "2026-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PR",
            "license": "93779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melvin Alvarado Matos Sr.
• Glenda Mayol-Alicea, PSYD
• Med Centro Inc.
• Medic Life Support LLC
• Medicfast Cita Inc
• Norma Ivette Medina, PHARM D.
• Francis Niret Melendez de Jesus, LND
• Joshua Oneil Melendez Sr.
• Karilma Melendez, PHD
• Rita Milagros Mercado Aponte, PSY.D

• Certified Registered Nurse Anesthetist in Juana Diaz, PR
• Providers in Juana Diaz, PR by specialty
• Certified Registered Nurse Anesthetist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.