Edgardo Garofalo, LPC
Individual provider Active NPI Professional Counselor · San Juan, PR
NPI 1629875166 · NPPES record last updated Mar 3, 2025
Key facts
- NPI
- 1629875166
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 002364 (PR)
- Practice address
- 456 Calle Jose a Canals
San Juan, PR 00918-2725 - Phone
- (939) 279-2953
- NPI assigned
- Mar 3, 2025
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002364 | PR | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 002364 | PR | Yes |
Addresses
Primary practice location
456 Calle Jose a Canals
San Juan, PR 00918-2725
Mailing address
456 Calle Jose a Canals
San Juan, PR 00918-2725
Phone (939) 279-2953
Other providers in San Juan, PR
- Yanira Griselle Garcia
- Yazmin Lizzette Garcia
- Abilia E Garib
- Tyrene Joan Garland de Jesus
- William James Garner
- Orlando Garofalo
- Miguel R. Garraton - Martin
- Luis Miguel Garraton Gutierrez
- Alexandra Teresa Garraton
- Ana Teresa Garraton
All providers in San Juan, PR · Professional Counselor in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 3, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.