Camila M Medina, MS, LSSP
Psychologist, School in Bayamon, Puerto Rico
1598431868- Practice location
- 66 2ND St. Riviera Court Dev, Bayamon, PR 00959
- Phone
- 787-615-3131
- Fax
- 787-731-6598
- Last updated
- August 18, 2021
Camila M Medina is a Psychologist, School based in Bayamon, PR. Camila M Medina practices in Bayamon, PR and has the professional credentials of MS, LSSP. The NPI Number for Camila M Medina is 1598431868 and holds a License No. 6081 (PR). The current practice location address for Camila M Medina is 66 2ND St. Riviera Court Dev, Bayamon, PR 00959 and can be reached out via phone at 787-615-3131 and via fax at 787-731-6598.
Provider Profile Details
- NPI Number
- 1598431868
- Provider Name
- Camila M Medina
- Credential
- MS, LSSP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 66 2ND St. Riviera Court Dev, Bayamon, PR 00959
- Phone Number
- 787-615-3131
- Fax Number
- 787-731-6598
- Primary Taxonomy
- Psychologist, School · 103TS0200X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 18, 2021
- Last Update Date
- August 18, 2021
- Certification Date
- July 26, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 66 2ND St. Riviera Court Dev
Bayamon, PR 00959 - City
- Bayamon
- State
- Puerto Rico
- Zip
- 00959
- Phone Number
- 787-615-3131
- Fax Number
- 787-731-6598
Provider Business Mailing Address Details
- Address
- Urb. Villas Del Rio Bayamon Calle 14 D-11
Bayamon, PR 00959-8965 - City
- Bayamon
- State
- PR
- Zip
- 00959-8965
- Phone Number
- 787-615-3131
- Fax Number
- 787-731-6598
License Information
- License Number (1)
- 6081
- License State (1)
- PR
- Taxonomy (1)
- Psychologist · 103T00000X
- License Number (2)
- 71612
- License State (2)
- TX
- Taxonomy (2)
- Psychologist, School · 103TS0200X · 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 Camila M Medina, MS, LSSP?
The NPI number of Camila M Medina, MS, LSSP is 1598431868. It was assigned on August 18, 2021 and is currently active in the NPPES registry.
What is the specialty of Camila M Medina, MS, LSSP?
Camila M Medina, MS, LSSP is registered under the primary taxonomy Psychologist, School (code 103TS0200X), licensed in PR under license number 6081.
Where does Camila M Medina, MS, LSSP practice?
The practice location is 66 2ND St. Riviera Court Dev, Bayamon, PR 00959. The office can be reached at 787-615-3131 (phone) or 787-731-6598 (fax).
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 1598431868 directly on the NPPES registry website.