NPIMap

Individual provider Active NPI

Andres Medina-Vecchini

  • Emergency Medicine Physician
  • Ponce, PR
National Provider Identifier
1952871089
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
D0104177 Issued in MD
Practice address
388 Zona Ind Reparada 2
Ponce, PR 00716-2347
Phone
(787) 840-2575
NPI assigned
Dec 2, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 36122 PR
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X D0104177 MD Primary
Emergency Medicine Physician 207P00000X 35.153771 OH

Addresses

Primary practice location

388 Zona Ind Reparada 2
Ponce, PR 00716-2347

Mailing address

201 Calle Quenepa
San Juan, PR 00926-5129
Phone (787) 399-8208

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD, OH3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20250702004018 DC Practitioner - Emergency Medicine 9537672415 Reassigns benefits to 1 organization
I20250702004122 MD Practitioner - Emergency Medicine 9537672415 Reassigns benefits to 2 organizations
I20250916000634 OH Practitioner - Emergency Medicine 9537672415 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4535 Dressier Rd NW
Canton, OH 44718-2545

505 Ave Sagrado Corazon
Apt 1004
San Juan, PR 00915

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
D0104177MDMDEmergency Medicine Physician
36122PRMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
4M Emergency Systems LLC Emergency Medicine CurrentSince Jan 27, 2026 Accepting new patients
Mves Austintown LLC Emergency Medicine CurrentSince Jan 27, 2026 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince May 5, 2025 Accepting new patients
Emergency Medicine Physicians of Lancaster, LTD. Emergency Medicine CurrentSince Jul 14, 2025 Accepting new patients
Emergency Medicine Associates P.a., P.C. Emergency Medicine CurrentSince May 5, 2025 Accepting new patients
Mves Boardman LLC Emergency Medicine CurrentSince Jan 27, 2026 Accepting new patients
Emergency Medicine Associates, PA Emergency Medicine CurrentSince May 5, 2025 Accepting new patients

Locations

100 Brown St
Chestertown, MD 21620
Phone (410) 778-3300

100 Hospital Rd
Prnc Frederck, MD 20678
Phone (410) 414-4791

200 Memorial Ave
Westminster, MD 21157
Phone (410) 848-3000

401 N Ewing St
Lancaster, OH 43130
Phone (740) 687-8000

667 Eastland Ave SE
Warren, OH 44484
Phone (330) 841-2378

8401 Market St
Youngstown, OH 44512
Phone (330) 729-2929

6252 Mahoning Ave
Youngstown, OH 44515
Phone (330) 792-7418

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

Organizations & group practices 8

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1543708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1952871089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 CALLE QUENEPA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009265129",
            "telephone_number": "787-399-8208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 ZONA IND REPARADA 2",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007162347",
            "telephone_number": "787-840-2575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA-VECCHINI",
        "first_name": "ANDRES",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-02",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PR",
            "license": "36122",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MD",
            "license": "D0104177",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35.153771",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.