Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Rafael Mediavilla, MS-ESL

Individual provider Specialist · NPI 1225379449

Mr. Rafael Mediavilla, MS-ESL is a Specialist in Bridgeport, Connecticut. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2013
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Practice location Address checks out

33 Renwick Dr
Bridgeport, CT 06604-2037
Phone: (203) 612-4870
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 1664735 (NY)

Record details

NPI number1225379449
Entity typeIndividual (Type 1)
GenderMale
Credentials MS-ESL
Sole proprietorYes
NPI enumeratedMarch 13, 2013
Last updated in NPPESMarch 13, 2013

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