Active NPI
Mayra Guma, RN
- Registered Nurse
- San Juan, PR
National Provider Identifier
1366101073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 27219
- Practice address
- 11217 65TH Ave
San Juan, PR 00987 - Phone
- (787) 276-7191
- NPI assigned
- Dec 9, 2021
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 27219 | PR | Primary |
Addresses
Primary practice location
11217 65TH Ave
San Juan, PR 00987
Mailing address
1785 Calle J Ferrer Y Ferrer Apt 310
San Juan, PR 00921-4185
Phone (787) 307-0551
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0009 | Medicaid | PR |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Website | Health Information Exchange (HIE) |
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27219 | PR | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639008000000",
"number": "1366101073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1785 CALLE J FERRER Y FERRER APT 310",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009214185",
"telephone_number": "787-307-0551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11217 65TH AVE",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00987",
"telephone_number": "787-276-7191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUMA",
"first_name": "MAYRA",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-12-09",
"last_updated": "2021-12-09",
"certification_date": "2021-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PR",
"license": "27219",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0009",
"state": "PR"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Website",
"affiliation": "N",
"endpointDescription": "Website",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"contentOtherDescription": "None",
"address_1": "11217 65th Ave",
"city": "San Juan",
"state": "PR",
"country_code": "US",
"postal_code": "00987",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.