Individual provider Active NPI

Manuel Felipe Melendez Vazquez, PHD

  • Clinical Psychologist
  • Humacao, PR
National Provider Identifier
1164153151
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
7386 Issued in PR
Practice address
Urb. San Antonio, Edificio San Antonio, Local #3
Carr. 924, Calle 1, A1 Esquina C-4
Humacao, PR 00792
Phone
(939) 339-3646
NPI assigned
Jun 21, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 7386 PR Primary

Addresses

Primary practice location

Urb. San Antonio, Edificio San Antonio, Local #3
Carr. 924, Calle 1, A1 Esquina C-4
Humacao, PR 00792

Mailing address

PO Box 8532
Humacao, PR 00792-8532
Phone (787) 632-7521

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1655769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1164153151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8532",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007928532",
            "telephone_number": "787-632-7521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. SAN ANTONIO, EDIFICIO SAN ANTONIO, LOCAL #3",
            "address_2": "CARR. 924, CALLE 1, A1 ESQUINA C-4",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "00792",
            "telephone_number": "939-339-3646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELENDEZ VAZQUEZ",
        "first_name": "MANUEL",
        "middle_name": "FELIPE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-21",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "7386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humacao, PR

Sources for this page

Verify at the official NPI Registry.