Individual provider · Type 1 NPI

Rafael Mediavilla, M.S-ESL

Specialist · Bridgeport, CT

NPI number 1225379449 Active

Practice location

33 Renwick Dr
Bridgeport, CT 06604-2037

Call (203) 612-4870 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X1664735 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1225379449

Rafael Mediavilla, M.S-ESL's National Provider Identifier is 1225379449, issued on Mar 13, 2013. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Bridgeport, CT. The record was last updated on Mar 13, 2013.