MR. RAFAEL MEDIAVILLA M.S-ESL
NPI 1225379449
Specialist in Bridgeport, CT

Q: What is Rafael Mediavilla's NPI number?

The NPI number for Rafael Mediavilla is 1225379449. It was assigned to this individual provider in the NPPES registry on March 13, 2013.

Q: What is Rafael Mediavilla's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Rafael Mediavilla was last updated on March 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 13, 2013

33 RENWICK DR, BRIDGEPORT, CT 06604(203) 612-4870 Get Directions Write a Review

NPPES record last updated: March 13, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Rafael Mediavilla M.s-esl NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. RAFAEL MEDIAVILLA M.S-ESL (NPI 1225379449) is an individual specialist in Bridgeport, Connecticut, licensed in New York (1664735) and active in the NPI registry since March 2013.

NPPES Registry Identity

NPI1225379449

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameMR. RAFAEL MEDIAVILLACredential: M.S-ESL

Location Address33 RENWICK DRBridgeport, CT 06604-2037

Mailing Address33 Renwick DrBridgeport, CT 06604-2037 · (203) 612-4870

Phone(203) 612-4870

Sole ProprietorYes

Enumeration DateMarch 13, 2013

✔ NPI 1225379449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in NY · 1664735

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

33 RENWICK DR, Bridgeport, CT 06604

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rafael Mediavilla's NPI number?

The NPI number for Rafael Mediavilla is 1225379449. It was assigned to this individual provider in the NPPES registry on March 13, 2013.

Where is Rafael Mediavilla located?

Rafael Mediavilla practices at 33 Renwick Dr, Bridgeport, CT 06604. The listed phone number is (203) 612-4870.

What is Rafael Mediavilla's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Rafael Mediavilla was last updated on March 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.