Active NPI
Leidy Laura Feliz Carrasco, MD
- Student in an Organized Health Care Education/Training Program
- San Juan, PR
National Provider Identifier
1871241497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 17313-I
- Practice address
- 715 Ave Ponce de Leon
San Juan, PR 00917-5032 - Phone
- (787) 758-2000
- NPI assigned
- Mar 14, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 17313-I | PR | Primary |
| Medical Physician Assistant | 363AM0700X | 000032 | PR |
Addresses
Primary practice location
715 Ave Ponce de Leon
San Juan, PR 00917-5032
Mailing address
375 Calle Alfredo Carbonell
San Juan, PR 00918-2316
Phone (787) 329-2765
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17313-I | PR | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746576000000",
"number": "1871241497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "375 CALLE ALFREDO CARBONELL",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009182316",
"telephone_number": "787-329-2765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 AVE PONCE DE LEON",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009175032",
"telephone_number": "787-758-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FELIZ CARRASCO",
"first_name": "LEIDY",
"middle_name": "LAURA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-14",
"last_updated": "2025-05-07",
"certification_date": "2025-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "PR",
"license": "17313-I",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PR",
"license": "000032",
"primary": false
}
],
"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 7, 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.