Active NPIIndividual provider

Edwin J Medina Agosto, PSYCHOLOGIST

Psychologist, Counseling in Cidra, Puerto Rico

NPI Number1609415272
Practice location
29 Villa Encantada, Cidra, PR 00739-9563
Fax
—
Last updated
April 7, 2021

Edwin Joel Medina Agosto is a Psychologist, Counseling based in Cidra, PR. Edwin Joel Medina Agosto practices in Cidra, PR and has the professional credentials of PSYCHOLOGIST. The NPI Number for Edwin Joel Medina Agosto is 1609415272 and holds a License No. 6508 (PR). The current practice location address for Edwin Joel Medina Agosto is 29 Villa Encantada, Cidra, PR 00739-9563 and can be reached out via phone at 787-212-9941.

Provider Profile Details

NPI Number
1609415272
Provider Name
Edwin Joel Medina Agosto
Credential
PSYCHOLOGIST
Provider Entity Type
Individual
Gender
Male
Address
29 Villa Encantada, Cidra, PR 00739-9563
Phone Number
787-212-9941
Primary Taxonomy
Psychologist, Counseling · 103TC1900X
Sole Proprietor
No
Provider Enumeration Date
December 31, 2019
Last Update Date
April 7, 2021
Certification Date
April 7, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
29 Villa Encantada
Cidra, PR 00739-9563
City
Cidra
Zip
00739-9563
Phone Number
787-212-9941
Cidra, PR 00739Get directions →

Provider Business Mailing Address Details

Address
29 Villa Encantada
Cidra, PR 00739-9563
City
Cidra
State
PR
Zip
00739-9563
Phone Number
787-212-9941

License Information

License Number
6508
License State
PR
Taxonomy
Psychologist, Counseling · 103TC1900X · Primary

Legacy Identifiers

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

Other Psychologist, Counseling providers near Cidra, PR

View all Psychologist, Counseling providers in Cidra →

Frequently Asked Questions

What is the NPI number of Edwin J Medina Agosto, PSYCHOLOGIST?

The NPI number of Edwin J Medina Agosto, PSYCHOLOGIST is 1609415272. It was assigned on December 31, 2019 and is currently active in the NPPES registry.

What is the specialty of Edwin J Medina Agosto, PSYCHOLOGIST?

Edwin J Medina Agosto, PSYCHOLOGIST is registered under the primary taxonomy Psychologist, Counseling (code 103TC1900X), licensed in PR under license number 6508.

Where does Edwin J Medina Agosto, PSYCHOLOGIST practice?

The practice location is 29 Villa Encantada, Cidra, PR 00739-9563. The office can be reached at 787-212-9941 (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 1609415272 directly on the NPPES registry website.

Browse related providers