Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Idalis Joan Medina Ayala

Individual provider Psychologist · NPI 1962370940

Idalis Joan Medina Ayala is a Psychologist in San German, Puerto Rico. Practices as a sole proprietor. Licensed in Puerto Rico.

Licensed in
PR
In the registry since
2025

Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

Centro Comercial De San German 183 Avenida Universidad Interamericana Local 107
San German, PR 00683
Phone: (787) 661-5195

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 8452 (PR)

Record details

NPI number1962370940
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 29, 2025
Last updated in NPPESOctober 29, 2025
Certification dateOctober 12, 2025

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