Individual provider Active NPI

Luz S Melendez Gomez, MD

  • General Practice Physician
  • Arroyo, PR
National Provider Identifier
1013157726
Registry record updated Dec 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
17438 Issued in PR
Practice address
H21 Calle 5
Urb. Belinda
Arroyo, PR 00714-2025
Phone
(787) 451-7615
NPI assigned
Feb 20, 2009
Last updated
Dec 16, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 17438 PR Primary

Addresses

Primary practice location

H21 Calle 5
Urb. Belinda
Arroyo, PR 00714-2025

Mailing address

Calle a C-1
Urb Jardines de Lafayette
Arroyo, PR 00714
Phone (787) 800-9600

Other identifiers 1

IdentifierTypeStateIssuer
17438OtherPRPUERTO RICO LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101214000124 PR Practitioner - General Practice 5698962819 Reassigns benefits to 1 organization
Practice locations: Juncos, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
17438PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrate Community Health System Current Accepting new patients
Integrate Community Health System, Inc. CurrentSince Sep 1, 2018 Accepting new patients
Integrate Community Health System CurrentSince Sep 1, 2018 Accepting new patients
Medical Services Solutions Eai Corp Past Accepting new patients
Medical Services Solutions Le CSP Past Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1235088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387152000000",
    "number": "1013157726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE A C-1",
            "address_2": "URB JARDINES DE LAFAYETTE",
            "city": "ARROYO",
            "state": "PR",
            "postal_code": "00714",
            "telephone_number": "787-800-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "H21 CALLE 5",
            "address_2": "URB. BELINDA",
            "city": "ARROYO",
            "state": "PR",
            "postal_code": "007142025",
            "telephone_number": "787-451-7615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELENDEZ GOMEZ",
        "first_name": "LUZ",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-20",
        "last_updated": "2013-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PUERTO RICO LICENSE",
            "identifier": "17438",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arroyo, PR

Sources for this page

Verify at the official NPI Registry.