Individual provider Active NPI

Emmanuel Melendez Ayala

  • Psychologist
  • San Juan, PR
National Provider Identifier
1013623644
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6387 Issued in PR
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

Updated by the provider on Aug 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
6387PRMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.