Mrs. Ivonne M Medina Campusano
Counselor, Professional in San Juan, Puerto Rico
1700774593- Practice location
- 124 Ave Franklin D Roosevelt # 124, San Juan, PR 00918-2409
- Phone
- 787-554-5605
- Fax
- —
- Last updated
- June 27, 2025
Ivonne Maria Medina Campusano is a Counselor, Professional based in San Juan, PR. Ivonne Maria Medina Campusano practices in San Juan, PR. The NPI Number for Ivonne Maria Medina Campusano is 1700774593 and holds a License No. 004713 (PR). The current practice location address for Ivonne Maria Medina Campusano is 124 Ave Franklin D Roosevelt # 124, San Juan, PR 00918-2409 and can be reached out via phone at 787-554-5605.
Provider Profile Details
- NPI Number
- 1700774593
- Provider Name
- Ivonne Maria Medina Campusano
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 124 Ave Franklin D Roosevelt # 124, San Juan, PR 00918-2409
- Phone Number
- 787-554-5605
- Primary Taxonomy
- Counselor, Professional · 101YP2500X
- Sole Proprietor
- Yes
- Other Names
- Dr. Ivonne Medina, EDD, CPL (Professional Name)
- Provider Enumeration Date
- June 27, 2025
- Last Update Date
- June 27, 2025
- Certification Date
- June 27, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 124 Ave Franklin D Roosevelt # 124
San Juan, PR 00918-2409 - City
- San Juan
- State
- Puerto Rico
- Zip
- 00918-2409
- Phone Number
- 787-554-5605
Provider Business Mailing Address Details
- Address
- 316 Calle Gerona
San Juan, PR 00923-1908 - City
- San Juan
- State
- PR
- Zip
- 00923-1908
- Phone Number
- 787-554-5605
License Information
- License Number
- 004713
- License State
- PR
- Taxonomy
- Counselor, Professional · 101YP2500X · 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 Mrs. Ivonne M Medina Campusano?
The NPI number of Mrs. Ivonne M Medina Campusano is 1700774593. It was assigned on June 27, 2025 and is currently active in the NPPES registry.
What is the specialty of Mrs. Ivonne M Medina Campusano?
Mrs. Ivonne M Medina Campusano is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in PR under license number 004713.
Where does Mrs. Ivonne M Medina Campusano practice?
The practice location is 124 Ave Franklin D Roosevelt # 124, San Juan, PR 00918-2409. The office can be reached at 787-554-5605 (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 1700774593 directly on the NPPES registry website.