Individual provider Active NPI

Josefina Melendez Cabrero, PH.D.

  • Clinical Neuropsychologist
  • San Juan, PR
National Provider Identifier
1093871709
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
2764 Issued in PR
Practice address
708 Av. Juan Ponce de Leon Suite 104
Professional Medical Plaza
San Juan, PR 00918
Phone
(939) 645-8155
Fax
(787) 497-3478
NPI assigned
Dec 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 2764 PR Primary
Clinical Psychologist 103TC0700X 2764 PR

Addresses

Primary practice location

708 Av. Juan Ponce de Leon Suite 104
Professional Medical Plaza
San Juan, PR 00918

Mailing address

PO Box 194589
San Juan, PR 00919-4589
Phone (939) 645-8155

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070430000391 PR Practitioner - Clinical Psychologist 9931205432 Practice locations: San Juan, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2764PRMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Neurowellness,LLC Clinical Neuropsychologist PastSince Feb 9, 2020 Accepting new patients
Alzheimer's Prevention Clinic & Research Center-PR Past Accepting new patients

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": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1093871709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 194589",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009194589",
            "telephone_number": "939-645-8155",
            "fax_number": "787-497-3478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 AV. JUAN PONCE DE LEON SUITE 104",
            "address_2": "PROFESSIONAL MEDICAL PLAZA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "939-645-8155",
            "fax_number": "787-497-3478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELENDEZ CABRERO",
        "first_name": "JOSEFINA",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "PR",
            "license": "2764",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "2764",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.