Individual provider Active NPI

Ilia Marie Morales Melecio, MD

  • Specialist
  • San Juan, PR
National Provider Identifier
1023211869
Registry record updated Dec 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
15038 Issued in PR
Practice address
Montecarlo 8 TH Street #1360
San Juan, PR 00924
Phone
(787) 587-8390
NPI assigned
Jun 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 15038 PR Primary

Addresses

Primary practice location

Montecarlo 8 TH Street #1360
San Juan, PR 00924

Mailing address

Montecarlo 8TH Street #1360
San Juan, PR 00924
Phone (787) 587-8390

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
I20031104000505 PR Practitioner - Pathology 1456263797 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Puerto Rico School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Puerto Rico Pathology Associates PGroup PAC ID 4385655760, 14 clinicians

Practice addresses (Care Compare)

198 Calle Trinidad
Suite 102
San Juan, PR 00917-2900
Phone (787) 726-5486

Merit-based Incentive Payment System (MIPS)

Final score
82.48 of 100Reported as group
Quality
64.96
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Puerto Rico Pathology Associates P CurrentSince Nov 9, 2019 Accepting new patients
Laboratorio Clinico de Diego Corp Past Accepting new patients

Locations

198 Calle Trinidad
Ste 102
San Juan, PR 00917

Organizations & group practices 2

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": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544140800000",
    "number": "1023211869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MONTECARLO 8TH STREET #1360",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00924",
            "telephone_number": "787-587-8390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MONTECARLO 8 TH STREET #1360",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00924",
            "telephone_number": "787-587-8390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORALES MELECIO",
        "first_name": "ILIA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-08",
        "last_updated": "2018-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "15038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.