Individual
MRS. IVONNE MARIA MEDINA CAMPUSANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
124 AVE FRANKLIN D ROOSEVELT # 124, SAN JUAN, PR 00918-2409
(787) 554-5605
Mailing address
316 CALLE GERONA, SAN JUAN, PR 00923-1908
(787) 554-5605
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
004713
PR
Other
Enumeration date
06/27/2025
Last updated
06/27/2025
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