Kayssie Marie Medina Rivera, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

4644 Issued in PR

Practice address

Carr 164 KM 6.2 Bo Achiote Sector Tanita Morales
Naranjito, PR 00719

Phone

(787) 909-4408

NPI assigned

May 23, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Blessed Group LLC

  • Speech-Language Pathologist
  • Naranjito, PR
  • NPI 1487013553
  NPD (past)

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

{
    "created_epoch": "1747958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747958400000",
    "number": "1487447314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 673",
            "city": "NARANJITO",
            "state": "PR",
            "postal_code": "007190673",
            "telephone_number": "787-909-4408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 164 KM 6.2 BO ACHIOTE SECTOR TANITA MORALES",
            "city": "NARANJITO",
            "state": "PR",
            "postal_code": "00719",
            "telephone_number": "787-909-4408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA RIVERA",
        "first_name": "KAYSSIE",
        "middle_name": "MARIE",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-23",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": "4644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johan Maldonado
• Marilyn Maldonado
• Sylvia Marcano
• Nancy Esther Martinez
• Lylyvette Matos Castro, MD
• Paulo Abnier Melendez Ortiz
• Melito Reategui Montoya LLC
• Mercado Ambulance Corp
• Nathaly Mercado Colon
• Julia Mercado Ortiz

• Speech-Language Pathologist in Naranjito, PR
• Providers in Naranjito, PR by specialty
• Speech-Language Pathologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.