Active NPIIndividual providerSole proprietor

Aiesha-Agyemarai Medina, PHD

Psychologist, Clinical in Guanica, Puerto Rico

NPI Number1225765688
Practice location
Carr.324 Km. 2.1 Bo. Ensenada El Batey, Guanica, PR 00653
Fax
—
Last updated
August 9, 2022

Aiesha-Agyemarai Medina is a Psychologist, Clinical based in Guanica, PR. Aiesha-Agyemarai Medina practices in Guanica, PR and has the professional credentials of PHD. The NPI Number for Aiesha-Agyemarai Medina is 1225765688 and holds a License No. 5490 (PR). The current practice location address for Aiesha-Agyemarai Medina is Carr.324 Km. 2.1 Bo. Ensenada El Batey, Guanica, PR 00653 and can be reached out via phone at 787-821-5328.

Provider Profile Details

NPI Number
1225765688
Provider Name
Aiesha-Agyemarai Medina
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
Carr.324 Km. 2.1 Bo. Ensenada El Batey, Guanica, PR 00653
Phone Number
787-821-5328
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
August 5, 2022
Last Update Date
August 9, 2022
Certification Date
August 9, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
Carr.324 Km. 2.1 Bo. Ensenada El Batey
Guanica, PR 00653
Zip
00653
Phone Number
787-821-5328
Guanica, PR 00653Get directions →

Provider Business Mailing Address Details

Address
Po Box 5000-452
San German, PR 00683
City
San German
State
PR
Zip
00683
Phone Number
939-942-1463

License Information

License Number
5490
License State
PR
Taxonomy
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 Aiesha-Agyemarai Medina, PHD?

The NPI number of Aiesha-Agyemarai Medina, PHD is 1225765688. It was assigned on August 5, 2022 and is currently active in the NPPES registry.

What is the specialty of Aiesha-Agyemarai Medina, PHD?

Aiesha-Agyemarai Medina, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in PR under license number 5490.

Where does Aiesha-Agyemarai Medina, PHD practice?

The practice location is Carr.324 Km. 2.1 Bo. Ensenada El Batey, Guanica, PR 00653. The office can be reached at 787-821-5328 (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 1225765688 directly on the NPPES registry website.

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