Active NPI
Carolina Medina
- Counseling Psychologist
- San Juan, PR
National Provider Identifier
1417374091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 5491
- Practice address
- 50 Calle Taft
Apt 7a
San Juan, PR 00911-1270 - Phone
- (787) 459-6582
- NPI assigned
- Mar 21, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 5491 | PR | Primary |
Addresses
Primary practice location
50 Calle Taft
Apt 7a
San Juan, PR 00911-1270
Mailing address
50 Calle Taft Apt 7a
San Juan, PR 00911
Phone (787) 459-6582
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395360000000",
"number": "1417374091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 CALLE TAFT APT 7A",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00911",
"telephone_number": "787-459-6582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 CALLE TAFT",
"address_2": "APT 7A",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009111270",
"telephone_number": "787-459-6582"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDINA",
"first_name": "CAROLINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-21",
"last_updated": "2014-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "PR",
"license": "5491",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Mar 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.