Carlos R Mellado, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

14376 Issued in PR

Practice address

Z15 Calle Yagrumo
Valle Arriba Heights
Carolina, PR 00983-3422

Phone

(787) 957-0060

NPI assigned

Jul 22, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Canovanas Medical Center CSP

  • Emergency Care Clinic/Center
  • Canovanas, PR
  • NPI 1710354899
  Medicare reassignment NPD Authorized official
• Better Choice Laboratories Corp

  dba CDT Canovanas

  • Clinical Medical Laboratory
  • Canovanas, PR
  • NPI 1629447479
  NPD (past)
• SM Medical Services, CSP

  • General Practice Physician
  • Canovanas, PR
  • NPI 1609917848
  NPD (past)

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104847268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "Z15 CALLE YAGRUMO",
            "address_2": "VALLE ARRIBA HEIGHTS",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009833422",
            "telephone_number": "787-957-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "Z15 CALLE YAGRUMO",
            "address_2": "VALLE ARRIBA HEIGHTS",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009833422",
            "telephone_number": "787-957-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELLADO",
        "first_name": "CARLOS",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "14376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iowany Melendez Vazquez, PSY.D
• Marangeli Melendez Velez
• Jose Enrique Melendez, RPH
• Shemika Melendez
• Sonia Esther Melendez, NL
• Menco Medical Services LLC.
• Jorge Mendez -Lopez, M.D.
• Lorraine Mendez Carreno
• Melany Mendez Espinosa, MA
• Iliana Mendez Garcia, M.D.

• General Practice Physician in Carolina, PR
• Providers in Carolina, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.