Laura C Mejia, MD

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

6619 Issued in PR

Practice address

338 Calle Mendez Vigo
Dorado, PR 00646-4908

Phone

(787) 278-1147

NPI assigned

Sep 26, 2007

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

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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  • NPI 1568440535
  NPD (past)

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473379200000",
    "number": "1902093750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PASEO SAN PABLO",
            "address_2": "ARTURO CADILLA BUILDING SUITE 401",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009617022",
            "telephone_number": "787-786-7391",
            "fax_number": "787-798-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 CALLE MENDEZ VIGO",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006464908",
            "telephone_number": "787-278-1147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEJIA",
        "first_name": "LAURA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-26",
        "last_updated": "2016-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "PR",
            "license": "6619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glorimar Medero
• Medina Gonzalez Dermatology LLC
• Andrea Cristina Medina Gonzalez, MD
• Jomar Alexis Medina Ortiz
• Mediserv L.L.C.
• Jerry Melecio, PHARM AUX
• Josue Melendez Almodovar, MSW
• Raul Melendez Ayala
• Ana I Melendez, MSW
• Haydee Melendez

• Pediatric Adolescent Medicine Physician in Dorado, PR
• Providers in Dorado, PR by specialty
• Pediatric Adolescent Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2016; 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.