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DR. CARMEN LUISA MEDIAVILLA M.D.
NPI 1407050776
Clinic/Center - Medically Fragile Infants and Children Day Care in Hato Rey, PR

Active since June 12, 2007
400 AVE. F.D. ROOSEVELT, ,CLINICA LAS AMERICAS SUITE 203, HATO REY, PR 00918(787) 783-4423(787) 781-5342 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Carmen Luisa Mediavilla M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CARMEN LUISA MEDIAVILLA M.D. (NPI 1407050776) is an individual medically fragile infants and children day care provider in Hato Rey, Puerto Rico, licensed in Puerto Rico (004984) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1407050776
Entity TypeIndividualFemale
Primary Taxonomy261QM3000X
Provider Legal NameDR. CARMEN LUISA MEDIAVILLACredential: M.D.
Location Address400 AVE. F.D. ROOSEVELT, ,CLINICA LAS AMERICAS SUITE 203Hato Rey, PR 00918
Mailing Address400 Ave. F.d. Roosevelt, ,clinica Las Americas Suite 203Hato Rey, PR 00918 · (787) 783-4423 · Fax (787) 781-5342
Phone(787) 783-4423
Fax(787) 781-5342
Sole ProprietorYes
Enumeration DateJune 12, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1407050776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medically Fragile Infants and Children Day CareAmbulatory Health Care Facilities
Taxonomy Code261QM3000X
License✔ Licensed in PR · 004984
Definition
An entity, facility, or distinct part of a facility specially equipped and staffed to provide care for medically fragile children with varied and complex care needs (e.g., enteral or parental feeding, ostomy care, respiratory/ventilator care, medications and therapies, etc.).
400 AVE. F.D. ROOSEVELT, Hato Rey, PR 00918
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Other Identifiers 2

Other98980PR · Provider #triple-s Manage
Other004984PR · License Md,pr

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ALAN DEL CASTILLO M.D.
Psychiatry & Neurology (Psychiatry)
400 AVE. F.D. ROOSEVELT, SUITE 410
SAN JUAN, PR 00918
San Juan Municipio (787) 753-6414
NAGR LLC
Pharmacy (Community/Retail Pharmacy)
400 AVE. F.D. ROOSEVELT, 102 CLINICA LAS AMERICAS
SAN JUAN, PR 00918
San Juan Municipio (787) 226-1770

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carmen Mediavilla's NPI number?

The NPI number for Carmen Mediavilla is 1407050776. It was assigned to this individual provider in the NPPES registry on June 12, 2007.

Where is Carmen Mediavilla located?

Carmen Mediavilla practices at 400 Ave. F.D. Roosevelt ,clinica Las Americas Suite 203, Hato Rey, PR 00918. The listed phone number is (787) 783-4423.

What is Carmen Mediavilla's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medically Fragile Infants and Children Day Care, with taxonomy code 261QM3000X.

When was this NPI record last updated?

The NPPES record for Carmen Mediavilla was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.