Mrs Ivonne Maria Medina Campusano, - Counselor in San Juan, PR

Mrs Ivonne Maria Medina Campusano, is a Counselor - Professional based in San Juan, Puerto Rico. Mrs Ivonne Maria Medina Campusano is licensed to practice in Puerto Rico (license number 004713) and her current practice location is 124 Ave Franklin D Roosevelt # 124, San Juan, Puerto Rico. She can be reached at her office (for appointments etc.) via phone at (787) 554-5605.

NPI number for Mrs Ivonne Maria Medina Campusano is 1700774593 and her current mailing address is 316 Calle Gerona, San Juan, Puerto Rico. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1700774593.

Contact Information

Mrs Ivonne Maria Medina Campusano,
124 Ave Franklin D Roosevelt # 124,
San Juan, PR 00918-2409
(787) 554-5605
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMrs Ivonne Maria Medina Campusano
GenderFemale
SpecialityCounselor - Professional
Location124 Ave Franklin D Roosevelt # 124, San Juan, Puerto Rico
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1700774593
  • Provider Enumeration Date: 06/27/2025
  • Last Update Date: 06/27/2025

Medical Identifiers

Medical identifiers for Mrs Ivonne Maria Medina Campusano such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700774593NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YP2500XCounselor - Professional 004713 (Puerto Rico)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Ivonne Maria Medina Campusano is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Ivonne Maria Medina Campusano,
316 Calle Gerona,
San Juan, PR 00923-1908

Ph: (787) 554-5605
Mrs Ivonne Maria Medina Campusano,
124 Ave Franklin D Roosevelt # 124,
San Juan, PR 00918-2409

Ph: (787) 554-5605

Reviews and Comments


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