Erik G Medina, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

17743 Issued in PR

Practice address

600 Ramon E. Betances
Mayaguez, PR 00680

Phone

(787) 831-4503

NPI assigned

Sep 27, 2008

Last updated

Mar 16, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Psychiatry

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Prospective Psychiatry Group, PSC

  • Psychiatry Physician
  • Mayaguez, PR
  • NPI 1023386026
  Medicare reassignment NPD Authorized official
• Clinica Armonia LLC

  • Clinical Psychologist
  • Ponce, PR
  • NPI 1861353062
  NPD (past)
• Policlinica Dr. Rijo C.S.P.

  • Primary Care Clinic/Center
  • Mayaguez, PR
  • NPI 1376941971
  NPD (past)

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

{
    "created_epoch": "1222473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458086400000",
    "number": "1477703387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MANSIONES, 3125 PEDREGALES",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "006238978",
            "telephone_number": "787-646-8149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 RAMON E. BETANCES",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-831-4503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "ERIK",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-27",
        "last_updated": "2016-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PR",
            "license": "27276-R",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PR",
            "license": "17743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Medina Morales
• Angel Medina Torres
• Cesar A Medina-Diaz, PSY.D., M.A.
• Angel Rolando Medina, MD
• Benjamin Medina, MD
• Mara Lee Medina
• Miguel Angel Medina, NURSE
• Patricia Medina, R.D. C.D.E.
• Jose R Medrano Perez III, MD
• Medx Pharma Experience

• Psychiatry Physician in Mayaguez, PR
• Providers in Mayaguez, PR by specialty
• Psychiatry Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.