Individual provider Active NPI

Myriam I. Melendez-Rosa, MD

  • Pulmonary Disease Physician
  • Bayamon, PR
National Provider Identifier
1073512943
Registry record updated Mar 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
10597 Issued in PR
Practice address
No.11 Palmer St.
Bayamon, PR 00961-6341
Phone
(787) 780-7303
Fax
(787) 251-5969
NPI assigned
Jul 21, 2005
Last updated
Mar 19, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 10597 PR Primary

Addresses

Primary practice location

No.11 Palmer St.
Bayamon, PR 00961-6341

Mailing address

PO Box 1439
Bayamon, PR 00960-1439
Phone (787) 433-1205

Other identifiers 1

IdentifierTypeStateIssuer
0082895OtherPRPTAN

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
I20120912000121 PR Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 3173771409 Practice locations: Bayamon, PR

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332115200000",
    "number": "1073512943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1439",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009601439",
            "telephone_number": "787-433-1205",
            "fax_number": "787-251-5969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NO.11 PALMER ST.",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009616341",
            "telephone_number": "787-780-7303",
            "fax_number": "787-251-5969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELENDEZ-ROSA",
        "first_name": "MYRIAM",
        "middle_name": "I.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-21",
        "last_updated": "2012-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "PR",
            "license": "10597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "0082895",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.