Keila Maria Mena de Rosario

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

94614101 Issued in NY

Practice address

1262 Boston Rd
Bronx, NY 10456-3541

Phone

(718) 569-7929

NPI assigned

Jul 10, 2024

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

State licenses

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

{
    "created_epoch": "1720569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1992542583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 KINGS COLLEGE PL APT 6C",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104671543",
            "telephone_number": "646-925-7702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1262 BOSTON RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104563541",
            "telephone_number": "718-569-7929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENA DE ROSARIO",
        "first_name": "KEILA",
        "middle_name": "MARIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-10",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "94614101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shanai J Melvin
• W. Scott Melvin, MD
• Roha Saeed Memon, MD
• Sana Memon
• Robert Simms Memory
• Herbert Mauricio Mena Hernandez, MD
• Jennie Mena-Diaz, MSW
• Daren Allen Mena
• Jennifer T Mena
• Natalie Mena, LCSW-R

• Registered Nurse in Bronx, NY
• Providers in Bronx, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.