Kevin Medina Cruz

Primary specialty

Critical Care Medicine Registered NurseTaxonomy code 163WC0200X

License

98018 Issued in PR

Practice address

Urb Fuente Bella
1419 St. Roma
Toa Alta, PR 00953-3400

Phone

(787) 923-5015

NPI assigned

Feb 7, 2024

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

Practice roles

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.

• Medina 'S Nurse & Care LLC

  • Nursing Care Agency
  • Toa Alta, PR
  • NPI 1770347965
  NPD Authorized official

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

{
    "created_epoch": "1707264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1205690534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB FUENTE BELLA",
            "address_2": "1419 ST. ROMA",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "009533400",
            "telephone_number": "787-923-5015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB FUENTE BELLA",
            "address_2": "1419 ST. ROMA",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "009533400",
            "telephone_number": "787-923-5015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA CRUZ",
        "first_name": "KEVIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-07",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "PR",
            "license": "98018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MD Premier Health LLC
• Medical Emergency Group JRJ, C.S.P.
• Medical Express Logistics LLC
• Medical Prosthetic
• Medina 'S Nurse & Care LLC
• Dulzaida Medina, RN BSN CDE
• Elsie Medina, P.T.
• Ivan J Medina
• Robustino Medina, M.D.
• Glyseth Melendez Perez, LIC.

• Critical Care Medicine Registered Nurse in Toa Alta, PR
• Providers in Toa Alta, PR by specialty
• Critical Care Medicine Registered Nurse in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.

Verify at the official NPI Registry.