Active NPIIndividual providerSole proprietor

Mariola B Medina Rodriguez

Psychologist, School in San Juan, Puerto Rico

NPI Number1063338713
Practice location
930 Ave Roberto Sanchez Vilella # 2-C2, San Juan, PR 00924-2586
Fax
—
Last updated
July 15, 2026

Mariola B Medina Rodriguez is a Psychologist, School based in San Juan, PR. Mariola B Medina Rodriguez practices in San Juan, PR. The NPI Number for Mariola B Medina Rodriguez is 1063338713 and holds a License No. 008781 (PR). The current practice location address for Mariola B Medina Rodriguez is 930 Ave Roberto Sanchez Vilella # 2-C2, San Juan, PR 00924-2586 and can be reached out via phone at 787-460-9112.

Provider Profile Details

NPI Number
1063338713
Provider Name
Mariola B Medina Rodriguez
Provider Entity Type
Individual
Gender
Female
Address
930 Ave Roberto Sanchez Vilella # 2-C2, San Juan, PR 00924-2586
Phone Number
787-460-9112
Primary Taxonomy
Psychologist, School · 103TS0200X
Sole Proprietor
Yes
Provider Enumeration Date
June 26, 2026
Last Update Date
July 15, 2026
Certification Date
July 15, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
930 Ave Roberto Sanchez Vilella # 2-C2
San Juan, PR 00924-2586
Zip
00924-2586
Phone Number
787-460-9112
San Juan, PR 00924Get directions →

Provider Business Mailing Address Details

Address
355 Calle Galileo Apt 5G
San Juan, PR 00927-4502
City
San Juan
State
PR
Zip
00927-4502
Phone Number
787-552-7977

License Information

License Number
008781
License State
PR
Taxonomy
Psychologist, School · 103TS0200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mariola B Medina Rodriguez?

The NPI number of Mariola B Medina Rodriguez is 1063338713. It was assigned on June 26, 2026 and is currently active in the NPPES registry.

What is the specialty of Mariola B Medina Rodriguez?

Mariola B Medina Rodriguez is registered under the primary taxonomy Psychologist, School (code 103TS0200X), licensed in PR under license number 008781.

Where does Mariola B Medina Rodriguez practice?

The practice location is 930 Ave Roberto Sanchez Vilella # 2-C2, San Juan, PR 00924-2586. The office can be reached at 787-460-9112 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063338713 directly on the NPPES registry website.

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