Individual provider Active NPI

Giselle M Medina-Velez, PSYD

  • Clinical Psychologist
  • Ponce, PR
National Provider Identifier
1386730786
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2490 Issued in PR
Practice address
Centro Medico Episcopal San Lucas
917 Ave. Tito Castro
Ponce, PR 00733
Phone
(787) 844-2080
NPI assigned
Oct 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2490 PR Primary

Addresses

Primary practice location

Centro Medico Episcopal San Lucas
917 Ave. Tito Castro
Ponce, PR 00733

Mailing address

Estancias del Golf Club
510 Luis Morales
Ponce, PR 00730-0531

Other identifiers 3

IdentifierTypeStateIssuer
563472OtherPRFHC SYSTEMS
3016OtherPRAPS HEALTH
57267 MEOtherPRTRIPLE S INC.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2490PRMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1386730786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ESTANCIAS DEL GOLF CLUB",
            "address_2": "510 LUIS MORALES",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007300531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CENTRO MEDICO EPISCOPAL SAN LUCAS",
            "address_2": "917 AVE. TITO CASTRO",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00733",
            "telephone_number": "787-844-2080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA-VELEZ",
        "first_name": "GISELLE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "2490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FHC SYSTEMS",
            "identifier": "563472",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APS HEALTH",
            "identifier": "3016",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S INC.",
            "identifier": "57267 ME",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.