Active NPI
Carlos Ruben Medina-Mejias, DC
- Chiropractor
- Arecibo, PR
National Provider Identifier
1912609389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 907
- Practice address
- Metropolitan Office Building
Arecibo, PR 00614-5200 - Phone
- (787) 246-6885
- NPI assigned
- Mar 20, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 907 | PR | Primary |
Addresses
Primary practice location
Metropolitan Office Building
Arecibo, PR 00614-5200
Mailing address
PO Box 141345
Arecibo, PR 00614-1345
Phone (787) 246-6885
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231006001596 | PR | Practitioner - Chiropractic | 9931554284 | Practice locations: Arecibo, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 907 | PR | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679270400000",
"number": "1912609389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 141345",
"city": "ARECIBO",
"state": "PR",
"postal_code": "006141345",
"telephone_number": "787-246-6885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "METROPOLITAN OFFICE BUILDING",
"city": "ARECIBO",
"state": "PR",
"postal_code": "006145200",
"telephone_number": "787-246-6885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDINA-MEJIAS",
"first_name": "CARLOS",
"middle_name": "RUBEN",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-03-20",
"last_updated": "2023-03-20",
"certification_date": "2023-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PR",
"license": "907",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arecibo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.