Individual provider Active NPI

Yashira Anais Medina Roman, MD

  • General Practice Physician
  • San Juan, PR
National Provider Identifier
1508498353
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
16288 Issued in PR
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

Updated by the provider on Dec 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

  • Direct secure messaging: 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

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.

Verify at the official NPI Registry.