MEDICARE: YOLANDA MILAGROS JULIA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	6225	PR

General Provider Information

NPI Number	:	1902571367
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YOLANDA MILAGROS JULIA

Provider Business Mailing Address
First Line	:	4745 AVENIDA ISLA VERDE
Second Line	:	APT 2A
City	:	CAROLINA
State	:	PR
Zip	:	00979-5411
Country	:	US
Telephone Number	:	787-473-7990
Fax Number	:

Provider Business Practice Location Address
First Line	:	1386 AVE PAZ GRANELA
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00921-4161
Country	:	US
Telephone Number	:	787-473-7990
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/09/2021
Last Update Date	:	11/24/2025

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Directions to “ YOLANDA MILAGROS JULIA ” Practice Location

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