Active NPI
Emmanuel Melendez Ayala
- Psychologist
- San Juan, PR
National Provider Identifier
1013623644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6387
- Practice address
- 903 Ave Roberto Sanchez Vilella
San Juan, PR 00924-2583 - Phone
- (787) 460-9112
- NPI assigned
- Jan 26, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6387 | PR | Primary |
Addresses
Primary practice location
903 Ave Roberto Sanchez Vilella
San Juan, PR 00924-2583
Mailing address
Bairoa Park 2J63 Calle Jose M. Solis
Caguas, PR 00727
Phone (787) 385-5115
Other practice location 1
R5 Calle Cupey Gdns
San Juan, PR 00926-7333
Phone (787) 292-0903
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6387 | PR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centro Terapeutico de San Juan | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Speech-Language Pathologist
- San Juan, PR
- NPI 1245583129
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756252800000",
"number": "1013623644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BAIROA PARK 2J63 CALLE JOSE M. SOLIS",
"city": "CAGUAS",
"state": "PR",
"postal_code": "00727",
"telephone_number": "787-385-5115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "903 AVE ROBERTO SANCHEZ VILELLA",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009242583",
"telephone_number": "787-460-9112"
}
],
"practiceLocations": [
{
"address_1": "R5 Calle Cupey Gdns",
"address_purpose": "LOCATION",
"city": "San Juan",
"state": "PR",
"postal_code": "009267333",
"country_code": "US",
"telephone_number": "787-292-0903",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MELENDEZ AYALA",
"first_name": "EMMANUEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-01-26",
"last_updated": "2025-08-27",
"certification_date": "2025-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PR",
"license": "6387",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.