Active NPIIndividual provider

Jaira M Almodovar Medina, PSYD

Psychologist, Clinical in Ponce, Puerto Rico

NPI Number1154975688
Practice location
35 Calle Mayor, Ponce, PR 00730-3726
Fax
—
Last updated
July 10, 2026

Jaira Marie Almodovar Medina is a Psychologist, Clinical based in Ponce, PR. Jaira Marie Almodovar Medina practices in Ponce, PR and has the professional credentials of PSYD. The NPI Number for Jaira Marie Almodovar Medina is 1154975688 and holds a License No. 17286 (PR). The current practice location address for Jaira Marie Almodovar Medina is 35 Calle Mayor, Ponce, PR 00730-3726 and can be reached out via phone at 787-844-3077.

Provider Profile Details

NPI Number
1154975688
Provider Name
Jaira Marie Almodovar Medina
Credential
PSYD
Provider Entity Type
Individual
Gender
Female
Address
35 Calle Mayor, Ponce, PR 00730-3726
Phone Number
787-844-3077
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
No
Provider Enumeration Date
August 1, 2019
Last Update Date
July 10, 2026
Certification Date
July 10, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
35 Calle Mayor
Ponce, PR 00730-3726
City
Ponce
Zip
00730-3726
Phone Number
787-844-3077
Ponce, PR 00730Get directions →

Provider Business Mailing Address Details

Address
35 Calle Mayor
Ponce, PR 00730-3726
City
Ponce
State
PR
Zip
00730-3726
Phone Number
787-844-3077

License Information

License Number (1)
17286
License State (1)
PR
Taxonomy (1)
Social Worker, Clinical · 1041C0700X
License Number (2)
8976
License State (2)
PR
Taxonomy (2)
Psychologist, Clinical · 103TC0700X · 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 Jaira M Almodovar Medina, PSYD?

The NPI number of Jaira M Almodovar Medina, PSYD is 1154975688. It was assigned on August 1, 2019 and is currently active in the NPPES registry.

What is the specialty of Jaira M Almodovar Medina, PSYD?

Jaira M Almodovar Medina, PSYD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in PR under license number 17286.

Where does Jaira M Almodovar Medina, PSYD practice?

The practice location is 35 Calle Mayor, Ponce, PR 00730-3726. The office can be reached at 787-844-3077 (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 1154975688 directly on the NPPES registry website.

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