Ivelisse Medina Perez

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

004433 Issued in PR

Practice address

19 Calle Georgetti Planta Baja
Barceloneta, PR 00617-2712

Phone

(787) 930-6401

NPI assigned

Oct 18, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1760745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1558238212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 756",
            "city": "SABANA HOYOS",
            "state": "PR",
            "postal_code": "006880756",
            "telephone_number": "787-930-6401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 CALLE GEORGETTI PLANTA BAJA",
            "city": "BARCELONETA",
            "state": "PR",
            "postal_code": "006172712",
            "telephone_number": "787-930-6401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19 Calle Georgetti planta baja",
            "address_purpose": "LOCATION",
            "city": "Barceloneta",
            "state": "PR",
            "postal_code": "006172712",
            "country_code": "US",
            "telephone_number": "939-642-5626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDINA PEREZ",
        "first_name": "IVELISSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-18",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": "004433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "660980682",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Felix Ali Maldonado, R.PH
• Lorna Malpica Torres, M.D.
• Edith I. Martinez, RPH.
• Norma M Martinez, DMD
• Medikus,LLC
• Suheidi Medina-Mercado, PSYD
• Abner Ricardo Melendez Medina
• Luis Enrique Melendez-Luciano, BS
• Fernando Melendez
• Abigail Mendez Rios

• Speech-Language Pathologist in Barceloneta, PR
• Providers in Barceloneta, PR by specialty
• Speech-Language Pathologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.