Miriam Soraya Medina, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1051794 Issued in TX

Practice address

21226 Market RDG # 101
San Antonio, TX 78258-4983

Phone

(210) 651-2211

Fax

(210) 569-0747

NPI assigned

Aug 22, 2021

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)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1629590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1558037275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21226 MARKET RDG # 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584983",
            "telephone_number": "210-651-2211",
            "fax_number": "210-569-0747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21226 MARKET RDG # 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584983",
            "telephone_number": "210-651-2211",
            "fax_number": "210-569-0747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "MIRIAM",
        "middle_name": "SORAYA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-22",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1051794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Medina, NNP
• Marlo Ann Medina, M.S., CCC-SLP
• Melissa Medina, NP-C
• Michael Medina
• Michael Arturo Medina, DDS
• Monica Medina
• Pablo Medina
• Robert Medina Jr.
• Rocio Medina
• Salvador D. Medina Jr., M.D.

• Family Nurse Practitioner in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.