MEDICARE: YOLANDA MILAGROS JULIA PADRO

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 PADRO

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

Provider Business Practice Location Address
First Line	:	117 AVE DE DIEGO
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00927-6310
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	:	05/26/2026

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