NEISHMA MEDINA


Address: 206 Calle Emeterio Hernandez, Paseo De Los Artesanos, Las Piedras, PR 00771-9671
Phone: 9396390388

NEISHMA MEDINA (NPI# 1225564313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225564313
Entity Type Individual
Full Name NEISHMA MEDINA
Credential PSYCHOLOGY
Practice Address 206 Calle Emeterio Hernandez
Paseo De Los Artesanos
Las Piedras
PR 00771-9671
Practice Telephone 9396390388
Mailing Telephone 9396390388
Enumeration Date 2017-05-10
Last Update Date 2017-05-10
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 405300000X Prevention Professional 5492 PR Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
PR LICENCIA 5492 01

Office Location

Street Address 206 CALLE EMETERIO HERNANDEZ
PASEO DE LOS ARTESANOS
City LAS PIEDRAS
State PR
Zip Code 00771-9671

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Taxonomy Information

Taxonomy Code 405300000X
Grouping Other Service Providers
Classification Prevention Professional

Taxonomy Definition

Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work.
Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: new]

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1003332552 Raul Correa Prevention Professional Calle 700 Manuel Pavia Street, Suite 301, San Juan, PR 00909 2017-08-16
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1194184721 Health Solution Corp Prevention Professional 1576 Villa Olimpica, San Juan, PR 00929-0000 2016-02-10
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Competitor

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City LAS PIEDRAS
Zip Code 00771

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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