Melvin Melendez, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

11617 Issued in PR

Practice address

Torre del Metropolitano 1789 Suite 209
Carr 21 Las Lomas
San Juan, PR 00921

Phone

(787) 793-2462

Fax

(787) 774-1615

NPI assigned

Aug 30, 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

Other identifiers 4

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

Specialty

Gastroenterology

Education

University of Puerto Rico School of Medicine, 1988

Medicare assignment

May accept Medicare assignment

Group practices

Gastro-Centro Norte PSCGroup PAC ID 7618199688, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Gastro-Centro Norte PSC

  • Endoscopy Clinic/Center
  • Arecibo, PR
  • NPI 1619394038

  PR

  Medicare reassignment Care Compare group NPD Authorized official
• Gastro Centro PCS

  • Endoscopy Clinic/Center
  • San Juan, PR
  • NPI 1740624329

  PR

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593993600000",
    "number": "1164531059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB 223 SC1353 RD 19",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00966",
            "telephone_number": "787-793-2462",
            "fax_number": "787-774-1615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TORRE DEL METROPOLITANO 1789 SUITE 209",
            "address_2": "CARR 21 LAS LOMAS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00921",
            "telephone_number": "787-793-2462",
            "fax_number": "787-774-1615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELENDEZ",
        "first_name": "MELVIN",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PR",
            "license": "11617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE Y MUCHO MAS",
            "identifier": "601120",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL",
            "identifier": "064521",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S",
            "identifier": "84448ME",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERNTIONAL MEDICAL CAR",
            "identifier": "2514",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leunam Melendez, N.L.
• Ligia M Melendez
• Maria del Mar Melendez, PSY.D.
• Maribel Melendez, M.S.
• Martin Yadiel Melendez
• Norma I Melendez, LPN
• Normaliz Melendez, PHARM D.
• Patricia C Melendez
• Raixie Melendez
• Sylvia M Melendez, SOCIAL WORKER

• All providers in San Juan, PR
• Gastroenterology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.