Individual
IDALIS JOAN MEDINA AYALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
CENTRO COMERCIAL DE SAN GERMAN 183, AVENIDA UNIVERSIDAD INTERAMERICANA LOCAL 107, SAN GERMAN, PR 00683
(787) 661-5195
Mailing address
CENTRO COMERCIAL DE SAN GERMAN 183, AVENIDA UNIVERSIDAD INTERAMERICANA LOCAL 107, SAN GERMAN, PR 00683
(787) 661-5195
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
8452
PR
Other
Enumeration date
10/29/2025
Last updated
10/29/2025
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