Active NPIIndividual providerSole proprietor

Idalis J Medina Ayala

Psychologist in San German, Puerto Rico

NPI Number1962370940
Practice location
Centro Comercial De San German 183, Avenida Universidad Interamericana Local 107, San German, PR 00683
Fax
—
Last updated
October 29, 2025

Idalis Joan Medina Ayala is a Psychologist based in San German, PR. Idalis Joan Medina Ayala practices in San German, PR. The NPI Number for Idalis Joan Medina Ayala is 1962370940 and holds a License No. 8452 (PR). The current practice location address for Idalis Joan Medina Ayala is Centro Comercial De San German 183, Avenida Universidad Interamericana Local 107, San German, PR 00683 and can be reached out via phone at 787-661-5195.

Provider Profile Details

NPI Number
1962370940
Provider Name
Idalis Joan Medina Ayala
Provider Entity Type
Individual
Gender
Female
Address
Centro Comercial De San German 183, Avenida Universidad Interamericana Local 107, San German, PR 00683
Phone Number
787-661-5195
Primary Taxonomy
Psychologist · 103T00000X
Sole Proprietor
Yes
Provider Enumeration Date
October 29, 2025
Last Update Date
October 29, 2025
Certification Date
October 12, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
Centro Comercial De San German 183
Avenida Universidad Interamericana Local 107
San German, PR 00683
Zip
00683
Phone Number
787-661-5195
San German, PR 00683Get directions →

Provider Business Mailing Address Details

Address
Centro Comercial De San German 183
Avenida Universidad Interamericana Local 107
San German, PR 00683
City
San German
State
PR
Zip
00683
Phone Number
787-661-5195

License Information

License Number
8452
License State
PR
Taxonomy
Psychologist · 103T00000X · 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 Idalis J Medina Ayala?

The NPI number of Idalis J Medina Ayala is 1962370940. It was assigned on October 29, 2025 and is currently active in the NPPES registry.

What is the specialty of Idalis J Medina Ayala?

Idalis J Medina Ayala is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in PR under license number 8452.

Where does Idalis J Medina Ayala practice?

The practice location is Centro Comercial De San German 183, Avenida Universidad Interamericana Local 107, San German, PR 00683. The office can be reached at 787-661-5195 (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 1962370940 directly on the NPPES registry website.

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