Active NPIIndividual provider

Ms. Ivanelle D Medina, BS, MS

Speech-Language Pathologist, in Guaynabo, Puerto Rico

NPI Number1699256529
Practice location
203 Galeria De Suchville, Guaynabo, PR 00966
Fax
—
Last updated
August 28, 2018

Ivanelle Denise Medina is a Speech-Language Pathologist, based in Guaynabo, PR. Ivanelle Denise Medina practices in Guaynabo, PR and has the professional credentials of BS, MS. The NPI Number for Ivanelle Denise Medina is 1699256529 and holds a License No. 3076 (PR). The current practice location address for Ivanelle Denise Medina is 203 Galeria De Suchville, Guaynabo, PR 00966 and can be reached out via phone at 787-231-6399.

Provider Profile Details

NPI Number
1699256529
Provider Name
Ivanelle Denise Medina
Credential
BS, MS
Provider Entity Type
Individual
Gender
Female
Address
203 Galeria De Suchville, Guaynabo, PR 00966
Phone Number
787-231-6399
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
No
Provider Enumeration Date
August 28, 2018
Last Update Date
August 28, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
203 Galeria De Suchville
Guaynabo, PR 00966
Zip
00966
Phone Number
787-231-6399
Guaynabo, PR 00966Get directions →

Provider Business Mailing Address Details

Address
Urb.reparto Marquez
Calle 9 G-21
Arecibo, PR 00612
City
Arecibo
State
PR
Zip
00612
Phone Number
787-231-6399

License Information

License Number
3076
License State
PR
Taxonomy
Speech-Language Pathologist, · 235Z00000X · 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 Ms. Ivanelle D Medina, BS, MS?

The NPI number of Ms. Ivanelle D Medina, BS, MS is 1699256529. It was assigned on August 28, 2018 and is currently active in the NPPES registry.

What is the specialty of Ms. Ivanelle D Medina, BS, MS?

Ms. Ivanelle D Medina, BS, MS is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in PR under license number 3076.

Where does Ms. Ivanelle D Medina, BS, MS practice?

The practice location is 203 Galeria De Suchville, Guaynabo, PR 00966. The office can be reached at 787-231-6399 (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 1699256529 directly on the NPPES registry website.

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