MRS. IVONNE MARIA MEDINA CAMPUSANO
NPI 1700774593
Counselor - Professional in San Juan, PR

Active since June 27, 2025
124 AVE FRANKLIN D ROOSEVELT # 124, SAN JUAN, PR 00918(787) 554-5605 Get Directions Write a Review

NPPES record last updated: June 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Ivonne Maria Medina Campusano NPPES

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

MRS. IVONNE MARIA MEDINA CAMPUSANO (NPI 1700774593) is an individual professional provider in San Juan, Puerto Rico, licensed in Puerto Rico (004713) and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1700774593
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. IVONNE MARIA MEDINA CAMPUSANO
Location Address124 AVE FRANKLIN D ROOSEVELT # 124San Juan, PR 00918-2409
Mailing Address316 Calle GeronaSan Juan, PR 00923-1908 · (787) 554-5605
Sole ProprietorYes
Enumeration DateJune 27, 2025
NPPES CertifiedJune 27, 2025
NPI 1700774593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in PR · 004713

Other Names 1

Professional Name (2)Dr. Ivonne Medina Edd, Cpl

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 Ivonne Medina Campusano's NPI number?

The NPI number for Ivonne Medina Campusano is 1700774593. It was assigned to this individual provider in the NPPES registry on June 27, 2025. The provider is also known as Dr. Ivonne Medina Edd, Cpl.

Where is Ivonne Medina Campusano located?

Ivonne Medina Campusano practices at 124 Ave Franklin D Roosevelt # 124, San Juan, PR 00918. The listed phone number is (787) 554-5605.

What is Ivonne Medina Campusano's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Ivonne Medina Campusano was last updated on June 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.