Active NPI
Evaristo Jaime Medina-Cucurella, M.D.
- Obstetrics & Gynecology Physician
- Vega Baja, PR
National Provider Identifier
1366898884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 21819
- Practice address
- Hospital Wilma Vazquez
Carr 2 KM. 39.5
Vega Baja, PR 00693-0000 - Phone
- (787) 858-1580
- NPI assigned
- May 13, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Obstetrics & Gynecology Physician | 207V00000X | 21819 | PR | Primary |
Addresses
Primary practice location
Hospital Wilma Vazquez
Carr 2 KM. 39.5
Vega Baja, PR 00693-0000
Mailing address
D-2 Los Picachos
Colinas Metropolitanas
Guaynabo, PR 00969
Other practice location 1
Puerto Rico Medical Center
Bo. Monacillos
San Juan, PR 00917
Phone (787) 480-2791 ext. 2792
Other practice location 2
Manati Medical Center
Calle Hernandez Carrion Urb Atenas
Manati, PR 00674-0000
Phone (787) 621-3700
Other practice location 3
Doctors Center Hospital Bayamon
Urb Extension Hermanas Davila
Bayamon, PR 00959-0000
Phone (787) 622-5420
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21819 | PR | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salud Integral En la Montana, Inc | Single Specialty | Current | Accepting new patients |
| Salud Integral En la Montana, Inc. | Single Specialty | Current | Accepting new patients |
| Salud Integral En la Montana, Inc | Single Specialty | Current | Accepting new patients |
| Bela-G LLC | Current | Accepting new patients | |
| Salud Integral En la Montana, Inc | Single Specialty | Current | Accepting new patients |
| Doctors Center Hospital Bayamon Inc | Single Specialty | Past | Accepting new patients |
| Dorado Health Inc | Single Specialty | Past | Accepting new patients |
Organizations & group practices 7
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.
-
- Federally Qualified Health Center (FQHC)
- Orocovis, PR
- NPI 1487677159
Single Specialty
-
- Federally Qualified Health Center (FQHC)
- Naranjito, PR
- NPI 1578586244
Single Specialty
-
- Clinic/Center
- Vega Baja, PR
- NPI 1568274918
-
- Federally Qualified Health Center (FQHC)
- Bayamon, PR
- NPI 1740772102
Single Specialty
-
- General Acute Care Hospital
- Bayamon, PR
- NPI 1912992553
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745280000000",
"number": "1366898884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "D-2 LOS PICACHOS",
"address_2": "COLINAS METROPOLITANAS",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "00969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HOSPITAL WILMA VAZQUEZ",
"address_2": "CARR 2 KM. 39.5",
"city": "VEGA BAJA",
"state": "PR",
"postal_code": "006930000",
"telephone_number": "787-858-1580"
}
],
"practiceLocations": [
{
"address_1": "Puerto Rico Medical Center",
"address_2": "Bo. Monacillos",
"address_purpose": "LOCATION",
"city": "San Juan",
"state": "PR",
"postal_code": "00917",
"country_code": "US",
"telephone_number": "787-480-2791 x2792",
"fax_number": "787-767-7011",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "MANATI MEDICAL CENTER",
"address_2": "CALLE HERNANDEZ CARRION URB ATENAS",
"address_purpose": "LOCATION",
"city": "MANATI",
"state": "PR",
"postal_code": "006740000",
"country_code": "US",
"telephone_number": "787-621-3700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "DOCTORS CENTER HOSPITAL BAYAMON",
"address_2": "URB EXTENSION HERMANAS DAVILA",
"address_purpose": "LOCATION",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009590000",
"country_code": "US",
"telephone_number": "787-622-5420",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEDINA-CUCURELLA",
"first_name": "EVARISTO",
"middle_name": "JAIME",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-05-13",
"last_updated": "2025-04-22",
"certification_date": "2025-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "PR",
"license": "21819",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vega Baja, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.