Individual provider Active NPI

Kevin A Buenahora Medina, MD

  • Family Medicine Physician
  • Carolina, PR
National Provider Identifier
1245847094
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
22022 Issued in PR
Practice address
1 Calle Hnos Rodriguez Ema
Carolina, PR 00979-5801
Phone
(787) 604-3317
NPI assigned
Sep 25, 2020
Last updated
Dec 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 22022 PR Primary

Addresses

Primary practice location

1 Calle Hnos Rodriguez Ema
Carolina, PR 00979-5801

Mailing address

1 Calle Hnos Rodriguez Ema Apt 1002
Carolina, PR 00979-5809
Phone (787) 604-3317

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201209000422 PR Practitioner - Family PracticePractitioner - General Practice 6002228426 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

Calle Diego
Suite 371
San Juan, PR 00924
Phone (787) 620-5100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
22022PRMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Francisco Health System Inc CurrentSince Aug 1, 2024 Accepting new patients
San Francisco Health System Inc Hospital San Francisco General Practice CurrentSince Aug 1, 2024 Accepting new patients
San Lucas Metro, Inc. Past Accepting new patients

Locations

371 Calle de Diego
San Juan, PR 00923
Phone (787) 754-4244

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1600992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1245847094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CALLE HNOS RODRIGUEZ EMA APT 1002",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009795809",
            "telephone_number": "787-604-3317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CALLE HNOS RODRIGUEZ EMA",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009795801",
            "telephone_number": "787-604-3317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUENAHORA MEDINA",
        "first_name": "KEVIN",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-25",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "22022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

Verify at the official NPI Registry.