Soraliz Medina Colon, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3006 Issued in PR

Practice address

Villa del Carmen
Calle Salamanca 573
Ponce, PR 00716-2112

Phone

(787) 843-4989

NPI assigned

May 9, 2008

Last updated

Feb 7, 2018By the provider in NPPES

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

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Ponce School of Medicine, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Med Centro IncGroup PAC ID 5890692131, 62 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Med Centro, Inc.

  • Federally Qualified Health Center (FQHC)
  • Ponce, PR
  • NPI 1295727147
  Medicare reassignment Care Compare group NPD
• Med Centro Inc.

  • Federally Qualified Health Center (FQHC)
  • Juana Diaz, PR
  • NPI 1760755276
  NPD
• Med Centro, Inc.

  • Federally Qualified Health Center (FQHC)
  • Ponce, PR
  • NPI 1669097374
  NPD

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

{
    "created_epoch": "1210291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517961600000",
    "number": "1205003258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8200",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007328200",
            "telephone_number": "787-843-9393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VILLA DEL CARMEN",
            "address_2": "CALLE SALAMANCA 573",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007162112",
            "telephone_number": "787-843-4989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA COLON",
        "first_name": "SORALIZ",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-09",
        "last_updated": "2018-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "3006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medical Solution Review International Inc
• Medical Specialists Services P.S.C.
• Medical X Ray Center Ponce
• Sharlene Medina Aviles, M.D.
• Magaly Medina Colon, M.D.
• Elianne Marie Medina Lopez
• Jaime Medina Medina, MSW, JD
• Valerie Medina Morales
• Luis Antonio Medina Rodriguez
• Ayaris Medina Santana

• Clinical Psychologist in Ponce, PR
• Providers in Ponce, PR by specialty
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.