Individual provider Active NPI

Omar Francisco Mendez Melendez, M.D.

  • Internal Medicine Physician
  • San Juan, PR
National Provider Identifier
1043600182
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
21027 Issued in PR
Practice address
Puerto Rico Medical Center
Bo Monacillos
San Juan, PR 00917
Phone
(939) 256-3224
NPI assigned
Jan 28, 2015
Last updated
Apr 7, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 21027 PR Primary

Addresses

Primary practice location

Puerto Rico Medical Center
Bo Monacillos
San Juan, PR 00917

Mailing address

Puerto Rico Medical Center
Bo Monacillos
San Juan, PR 00917
Phone (939) 256-3224

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
I20210826000902 PR Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 8527463702 Reassigns benefits to 1 organization
Practice locations: Hato Rey, PR

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Respiratory Care Specialists LLPGroup PAC ID 0648350926, 5 clinicians

Practice addresses (Care Compare)

735 Ave Ponce de Leon
Suite 716
Hato Rey, PR 00917-5030
Phone (787) 765-3079

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21027PRMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Respiratory Care Specialists LLP Single Specialty CurrentSince Sep 13, 2021 Accepting new patients

Locations

735 Ave Ponce de Leon
Ste 716
San Juan, PR 00917
Phone (787) 765-3078

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1422403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1043600182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PUERTO RICO MEDICAL CENTER",
            "address_2": "BO MONACILLOS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00917",
            "telephone_number": "939-256-3224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PUERTO RICO MEDICAL CENTER",
            "address_2": "BO MONACILLOS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00917",
            "telephone_number": "939-256-3224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ MELENDEZ",
        "first_name": "OMAR",
        "middle_name": "FRANCISCO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-01-28",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "21027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.