Active NPIIndividual providerSole proprietor

Miss Kimberly M Medina, MSC

Psychologist, Counseling in Caguas, Puerto Rico

NPI Number1932984804
Practice location
Pr 1 Ave. Sakura, Bairoa, Villa Blanca Industrial Park, Segundo Piso Suite 235, Caguas, PR 00725
Fax
—
Last updated
August 29, 2023

Kimberly Marie Medina is a Psychologist, Counseling based in Caguas, PR. Kimberly Marie Medina practices in Caguas, PR and has the professional credentials of MSC. The NPI Number for Kimberly Marie Medina is 1932984804 and holds a License No. 7716 (PR). The current practice location address for Kimberly Marie Medina is Pr 1 Ave. Sakura, Bairoa, Villa Blanca Industrial Park, Segundo Piso Suite 235, Caguas, PR 00725 and can be reached out via phone at 787-705-5565.

Provider Profile Details

NPI Number
1932984804
Provider Name
Kimberly Marie Medina
Credential
MSC
Provider Entity Type
Individual
Gender
Female
Address
Pr 1 Ave. Sakura, Bairoa, Villa Blanca Industrial Park, Segundo Piso Suite 235, Caguas, PR 00725
Phone Number
787-705-5565
Primary Taxonomy
Psychologist, Counseling · 103TC1900X
Sole Proprietor
Yes
Provider Enumeration Date
August 29, 2023
Last Update Date
August 29, 2023
Certification Date
August 28, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
Pr 1 Ave. Sakura, Bairoa, Villa Blanca Industrial Park
Segundo Piso Suite 235
Caguas, PR 00725
City
Caguas
Zip
00725
Phone Number
787-705-5565
Caguas, PR 00725Get directions →

Provider Business Mailing Address Details

Address
Po Box 536
Caguas, PR 00726-0536
City
Caguas
State
PR
Zip
00726-0536
Phone Number
787-705-5565

License Information

License Number
7716
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.

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Frequently Asked Questions

What is the NPI number of Miss Kimberly M Medina, MSC?

The NPI number of Miss Kimberly M Medina, MSC is 1932984804. It was assigned on August 29, 2023 and is currently active in the NPPES registry.

What is the specialty of Miss Kimberly M Medina, MSC?

Miss Kimberly M Medina, MSC is registered under the primary taxonomy Psychologist, Counseling (code 103TC1900X), licensed in PR under license number 7716.

Where does Miss Kimberly M Medina, MSC practice?

The practice location is Pr 1 Ave. Sakura, Bairoa, Villa Blanca Industrial Park, Segundo Piso Suite 235, Caguas, PR 00725. The office can be reached at 787-705-5565 (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 1932984804 directly on the NPPES registry website.

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