Active NPI
Yashira Anais Medina Roman, MD
- General Practice Physician
- San Juan, PR
National Provider Identifier
1508498353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 16288
- Practice address
- Registrar Office
University of Puerto Rico Medical Science Campus
San Juan, PR 00936-5067 - Phone
- (787) 763-1824
- NPI assigned
- Feb 10, 2020
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 16288 | PR | Primary |
Addresses
Primary practice location
Registrar Office
University of Puerto Rico Medical Science Campus
San Juan, PR 00936-5067
Mailing address
U-2 Calle Granadilla
Valle Arriba Heights
Carolina, PR 00983
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Yashira.medina@upr.edu |
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
- Doctor of Medicine
Interoperability endpoints
- yashira.medina@upr.edu
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702944000000",
"number": "1508498353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "U-2 CALLE GRANADILLA",
"address_2": "VALLE ARRIBA HEIGHTS",
"city": "CAROLINA",
"state": "PR",
"postal_code": "00983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "REGISTRAR OFFICE",
"address_2": "UNIVERSITY OF PUERTO RICO MEDICAL SCIENCE CAMPUS",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009365067",
"telephone_number": "787-763-1824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDINA ROMAN",
"first_name": "YASHIRA",
"middle_name": "ANAIS",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-10",
"last_updated": "2023-12-19",
"certification_date": "2023-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "16288",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Yashira.medina@upr.edu",
"affiliation": "N",
"address_1": "Registrar office",
"address_2": "University of Puerto Rico Medical science campus",
"city": "San Juan",
"state": "PR",
"country_code": "US",
"postal_code": "009365067",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in San Juan, PR
- Sahira M Medina Lopez, MSW
- Sofia Medina Oliveras, M.D.
- Gabriel Sebastian Medina Ortiz, STUDENT
- Eduardo J Medina Parrilla, MD
- Mariola B Medina Rodriguez
- Nadja Laura Medina Torres, M.S.-SLP
- Adrian Jose Medina Wezer, MD STUDENT
- Ana Rita Medina-Bravo, PHARMD
- Patricia I Medina-Rivera, PHARM. D
- Roberto Medina-Rivera, R.PH.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.