Active NPI
Keishla Medina, MPHE
- Health Educator
- Caguas, PR
National Provider Identifier
1790315489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- License
- 1025
- Practice address
- Ave. Rafael Cordero, Esquina Troche
Apt. 1025
Caguas, PR 00726 - Phone
- (787) 745-0340
- NPI assigned
- Jan 22, 2020
- Last updated
- Jan 22, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Health Educator | 174H00000X | 1025 | PR | Primary |
Addresses
Primary practice location
Ave. Rafael Cordero, Esquina Troche
Apt. 1025
Caguas, PR 00726
Mailing address
Urbanizacion Los Suenos #65
Ciudad Jardin
Gurabo, PR 00778
Phone (787) 696-8888
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1025 | PR | MD | Health Educator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579651200000",
"number": "1790315489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URBANIZACION LOS SUENOS #65",
"address_2": "CIUDAD JARDIN",
"city": "GURABO",
"state": "PR",
"postal_code": "00778",
"telephone_number": "787-696-8888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVE. RAFAEL CORDERO, ESQUINA TROCHE",
"address_2": "APT. 1025",
"city": "CAGUAS",
"state": "PR",
"postal_code": "00726",
"telephone_number": "787-745-0340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDINA",
"first_name": "KEISHLA",
"credential": "MPHE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-22",
"last_updated": "2020-01-22",
"certification_date": "2020-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "PR",
"license": "1025",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Caguas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.