Adyanis Kamyl Medina Rodriguez, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

94683 Issued in PR

Practice address

Consolidated Medical Plaza
Office 405
Caguas, PR 00725

Phone

(939) 355-0304

NPI assigned

Feb 22, 2023

Sex

Female

Sole proprietor

Yes

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1677024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677024000000",
    "number": "1659079259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "GOLDEN GATE 1 E12 CALLE D",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00727",
            "telephone_number": "787-299-4655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CONSOLIDATED MEDICAL PLAZA",
            "address_2": "OFFICE 405",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "939-355-0304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA RODRIGUEZ",
        "first_name": "ADYANIS",
        "middle_name": "KAMYL",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-22",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PR",
            "license": "94683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mediko Imaging Inc.
• Mediko Medicina Primaria Corp
• Aidelis Medina Flores
• Keishla Medina Ortiz
• Carmen I. Medina Perez, PH.D.
• Ingrid Medina Vazquez, PHARM.D.
• Agustin Medina-Rosario, M.D.
• Eily Medina
• Keishla Medina, MPHE
• Kimberly Marie Medina, MSC

• Registered Nurse in Caguas, PR
• Providers in Caguas, PR by specialty
• Registered Nurse in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.