Mariola B Medina Rodriguez

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

008781 Issued in PR

Practice address

930 Ave Roberto Sanchez Vilella # 2-C2
San Juan, PR 00924-2586

Phone

(787) 460-9112

NPI assigned

Jun 26, 2026

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1782432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1063338713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 CALLE GALILEO APT 5G",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009274502",
            "telephone_number": "787-552-7977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 AVE ROBERTO SANCHEZ VILELLA # 2-C2",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009242586",
            "telephone_number": "787-460-9112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA RODRIGUEZ",
        "first_name": "MARIOLA",
        "middle_name": "B",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-06-26",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "PR",
            "license": "008781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casandra Medina Jimenez, M.D.
• Sahira M Medina Lopez, MSW
• Sofia Medina Oliveras, M.D.
• Gabriel Sebastian Medina Ortiz, STUDENT
• Eduardo J Medina Parrilla, MD
• Yashira Anais Medina Roman, MD
• Aisha M Medina Torres, MS
• Nadja Laura Medina Torres, M.S.-SLP
• Adrian Jose Medina Wezer, MD STUDENT
• Ana Rita Medina-Bravo, PHARMD

• School Psychologist in San Juan, PR
• Providers in San Juan, PR by specialty
• School Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.