Provider Demographics
NPI:1902786841
Name:MEDINA LUNA, CLAUDIA ALEJANDRA (PSICOLOGA)
Entity type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:ALEJANDRA
Last Name:MEDINA LUNA
Suffix:
Gender:F
Credentials:PSICOLOGA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CONDOMINIO GOLDEN TOWER
Mailing Address - Street 2:APT #412
Mailing Address - City:CARLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00983
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:PR-190, CAROLINA, 00983
Practice Address - Street 2:CONDOMINIO GOLDEN TOWER
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00983
Practice Address - Country:US
Practice Address - Phone:787-981-2171
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-03
Last Update Date:2025-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8195103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool