Elianne Marie Medina Lopez

Primary specialty

Social WorkerTaxonomy code 104100000X

License

14004 Issued in PR

Practice address

44 Calle Isabel
Ponce, PR 00730-3722

Phone

(787) 848-3073

Fax

(787) 812-0301

NPI assigned

Nov 8, 2017

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

Other identifiers 1

Other names 1

• Miss Elianne M. Medina Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Coalicion de Coaliciones Pro Personas Sin Hogar de Puerto Rico

  • Adult Mental Health Clinic/Center
  • Ponce, PR
  • NPI 1396290987
  NPD (past)
• Coalicion de Coaliciones Pro Personas Sin Hogar de Puerto Rico, Inc

  • Case Management Agency
  • Ponce, PR
  • NPI 1225314438
  NPD (past)

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

{
    "created_epoch": "1510099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1972016335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 607087",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009607087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 CALLE ISABEL",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007303722",
            "telephone_number": "787-848-3073",
            "fax_number": "787-812-0301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Terrenos Hospital San Lucas II",
            "address_2": "Bo. Machuelo 14",
            "address_purpose": "LOCATION",
            "city": "Ponce",
            "state": "PR",
            "postal_code": "007320073",
            "country_code": "US",
            "telephone_number": "787-763-7575 x1243",
            "fax_number": "787-995-5166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDINA LOPEZ",
        "first_name": "ELIANNE",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-08",
        "last_updated": "2025-09-12",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PR",
            "license": "14004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "$$$$$$$$$",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIANNE",
            "last_name": "MEDINA",
            "middle_name": "M.",
            "prefix": "MISS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Medical Specialists Services P.S.C.
• Medical X Ray Center Ponce
• Sharlene Medina Aviles, M.D.
• Magaly Medina Colon, M.D.
• Soraliz Medina Colon, PSY.D.
• Jaime Medina Medina, MSW, JD
• Valerie Medina Morales
• Luis Antonio Medina Rodriguez
• Ayaris Medina Santana
• Natalia Medina Socorro

• Social Worker in Ponce, PR
• Providers in Ponce, PR by specialty
• Social Worker in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.