Organization Active NPI

Medikus,LLC

  • Primary Care Clinic/Center
  • Barceloneta, PR
National Provider Identifier
1801452834
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
MEDIKUS,LLC
Practice address
14 Carr 2 Luis Molina
Barceloneta, PR 00617
Phone
(787) 645-9010
NPI assigned
May 15, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2022

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

Authorized official

Name
Dr. Keyla Diaz, MD
Title
Ceo
Phone
(787) 645-9010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

14 Carr 2 Luis Molina
Barceloneta, PR 00617

Mailing address

1043 Calle Carite Valles del Lago
Caguas, PR 00725-7645
Phone (787) 645-9010

Other practice location 1

1043 Calle Carite Valles Del Lago
Caguas, PR 00725-7645
Phone (787) 645-9010

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1557878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652918400000",
    "number": "1801452834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1043 CALLE CARITE VALLES DEL LAGO",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007257645",
            "telephone_number": "787-645-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 CARR 2 LUIS MOLINA",
            "city": "BARCELONETA",
            "state": "PR",
            "postal_code": "00617",
            "telephone_number": "787-645-9010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1043 Calle Carite Valles Del Lago",
            "address_purpose": "LOCATION",
            "city": "Caguas",
            "state": "PR",
            "postal_code": "007257645",
            "country_code": "US",
            "telephone_number": "787-645-9010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MEDIKUS,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-15",
        "last_updated": "2022-05-19",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "KEYLA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "787-645-9010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barceloneta, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; 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.