Individual provider Active NPI

Minerliz Colon Melendez, MS, PHL

  • Speech-Language Pathologist
  • Vega Baja, PR
National Provider Identifier
1023439684
Registry record updated Dec 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2011 Issued in PR
Practice address
4250 Carr #2
Centro Integral de Servicios Psicologicos
Vega Baja, PR 00693-0001
Phone
(787) 934-5362
NPI assigned
Dec 30, 2013
Last updated
Dec 9, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2011 PR Primary

Addresses

Primary practice location

4250 Carr #2
Centro Integral de Servicios Psicologicos
Vega Baja, PR 00693-0001

Mailing address

4250 Carr 2
Centro Integral de Servicios Psicologicos
Vega Baja, PR 00693-0001
Phone (787) 934-5362

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150410001450 PR Practitioner - Qualified Speech Language Pathologist 3173841772 Reassigns benefits to 1 organization
Practice locations: Vega Baja, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Mini S Steps CSP Speech-Language Pathologist CurrentSince Oct 16, 2018 Accepting new patients
Mini's Steps Past Accepting new patients

Locations

4250 Carr 2
Vega Baja, PR 00693
Phone (787) 424-4466

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, 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": "1388361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418083200000",
    "number": "1023439684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4250 CARR 2",
            "address_2": "CENTRO INTEGRAL DE SERVICIOS PSICOLOGICOS",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006930001",
            "telephone_number": "787-934-5362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 CARR #2",
            "address_2": "CENTRO INTEGRAL DE SERVICIOS PSICOLOGICOS",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006930001",
            "telephone_number": "787-934-5362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON MELENDEZ",
        "first_name": "MINERLIZ",
        "credential": "MS, PHL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-30",
        "last_updated": "2014-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": "2011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vega Baja, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.