Individual provider Active NPI

Edlisse Jomary Mendoza Morales, APRN FNP

  • Family Nurse Practitioner
  • San Juan, PR
National Provider Identifier
1720918899
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11034870 Issued in FL
Practice address
531 Calle Pruna
San Juan, PR 00923-2122
Phone
(787) 518-1956
NPI assigned
May 21, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 005959 PR
Family Nurse Practitioner 363LF0000X APRN11034870 FL Primary

Addresses

Primary practice location

531 Calle Pruna
San Juan, PR 00923-2122

Mailing address

531 Calle Pruna
San Juan, PR 00923-2122
Phone (787) 518-1956

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

State licenses

LicenseStateTypeSpecialty
APRN11034870FLMDFamily Nurse Practitioner
005959PRMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1779321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1720918899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 CALLE PRUNA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009232122",
            "telephone_number": "787-518-1956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 CALLE PRUNA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009232122",
            "telephone_number": "787-518-1956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA MORALES",
        "first_name": "EDLISSE",
        "middle_name": "JOMARY",
        "credential": "APRN FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-21",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PR",
            "license": "005959",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11034870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 May 21, 2026; 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.