Ms. Edanilka Medina Sustache, PHD
Psychologist, Clinical in Rio Grande, Puerto Rico
1215765193- Practice location
- Urb. Los Arboles 341 Granada Street, Rio Grande, PR 00745
- Phone
- 787-602-0547
- Fax
- —
- Last updated
- July 23, 2024
Edanilka Medina Sustache is a Psychologist, Clinical based in Rio Grande, PR. Edanilka Medina Sustache practices in Rio Grande, PR and has the professional credentials of PHD. The NPI Number for Edanilka Medina Sustache is 1215765193 and holds a License No. 6832 (PR). The current practice location address for Edanilka Medina Sustache is Urb. Los Arboles 341 Granada Street, Rio Grande, PR 00745 and can be reached out via phone at 787-602-0547.
Provider Profile Details
- NPI Number
- 1215765193
- Provider Name
- Edanilka Medina Sustache
- Credential
- PHD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- Urb. Los Arboles 341 Granada Street, Rio Grande, PR 00745
- Phone Number
- 787-602-0547
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 23, 2024
- Last Update Date
- July 23, 2024
- Certification Date
- July 15, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- Urb. Los Arboles 341 Granada Street
Rio Grande, PR 00745 - City
- Rio Grande
- State
- Puerto Rico
- Zip
- 00745
- Phone Number
- 787-602-0547
Provider Business Mailing Address Details
- Address
- Urb. Los Arboles 341 Granada Street
Rio Grande, PR 00745 - City
- Rio Grande
- State
- PR
- Zip
- 00745
- Phone Number
- 787-602-0547
License Information
- License Number
- 6832
- License State
- PR
- Taxonomy
- Psychologist, Clinical · 103TC0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Ms. Edanilka Medina Sustache, PHD?
The NPI number of Ms. Edanilka Medina Sustache, PHD is 1215765193. It was assigned on July 23, 2024 and is currently active in the NPPES registry.
What is the specialty of Ms. Edanilka Medina Sustache, PHD?
Ms. Edanilka Medina Sustache, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in PR under license number 6832.
Where does Ms. Edanilka Medina Sustache, PHD practice?
The practice location is Urb. Los Arboles 341 Granada Street, Rio Grande, PR 00745. The office can be reached at 787-602-0547 (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 1215765193 directly on the NPPES registry website.