Individual provider Active NPI

Juan Carlos Maldonado-Melendez, M.D.

  • Ophthalmology Physician
  • Arecibo, PR
National Provider Identifier
1073711479
Registry record updated Jul 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
17209 Issued in PR
Practice address
49B Calle Morell Campos
Arecibo, PR 00612-4318
Phone
(787) 878-2758
Fax
(787) 817-3531
NPI assigned
Jul 6, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 17209 PR Primary
Ophthalmology Physician 207W00000X 62251 GA

Addresses

Primary practice location

49B Calle Morell Campos
Arecibo, PR 00612-4318

Mailing address

512 Camino de Rio Abajo
Dorado, PR 00646-3644
Phone (787) 880-7200

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
I20101007001083 PR Practitioner - Ophthalmology 7012068802 Practice locations: Arecibo, PR

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Puerto Rico School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

49 B Calle Morell Campos
Arecibo, PR 00612-4318
Phone (787) 880-7200

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
62251GAMDOphthalmology Physician

Interoperability endpoints

  • Direct secure messaging: juancmaldonado@drjmaldonadomelendez.direct.eyemdemr.com

NPI Registry JSON

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500595200000",
    "number": "1073711479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 CAMINO DE RIO ABAJO",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006463644",
            "telephone_number": "787-880-7200",
            "fax_number": "787-881-6072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49B CALLE MORELL CAMPOS",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006124318",
            "telephone_number": "787-878-2758",
            "fax_number": "787-817-3531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALDONADO-MELENDEZ",
        "first_name": "JUAN",
        "middle_name": "CARLOS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-06",
        "last_updated": "2017-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PR",
            "license": "17209",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "62251",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arecibo, PR

Sources for this page

Verify at the official NPI Registry.