Marielly Melendez Tirado, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

16254 Issued in PR

Practice address

59 Ave Font Martelo W
Humacao, PR 00791-3615

Phone

(787) 850-0211

Fax

(787) 850-0220

NPI assigned

Jul 24, 2006

Last updated

Oct 6, 2022By the provider in NPPES

Sex

Female

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Clinica de Servicios Medicos Y Complementarios

  • Primary Care Clinic/Center
  • Humacao, PR
  • NPI 1942742879
  Medicare reassignment NPD

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1184646911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10329",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007921329",
            "telephone_number": "939-439-5566",
            "fax_number": "787-850-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 AVE FONT MARTELO W",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007913615",
            "telephone_number": "787-850-0211",
            "fax_number": "787-850-0220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Calle Dufresne W",
            "address_purpose": "LOCATION",
            "city": "Humacao",
            "state": "PR",
            "postal_code": "007913601",
            "country_code": "US",
            "telephone_number": "787-850-0211",
            "fax_number": "787-850-0211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELENDEZ TIRADO",
        "first_name": "MARIELLY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "16254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yolanda Medina, RPHA
• Medint Corporation
• Medpoint LLC
• Nora Liz Mejias Gonzalez, MD, MHA
• Carla Melendez Ramirez Sr.
• Manuel Felipe Melendez Vazquez, PHD
• Olga Melendez-Martinez, MD
• Sandra Melendez-Tirado
• Alan M Melendez, OD
• Manuel E Melendez

• General Practice Physician in Humacao, PR
• Providers in Humacao, 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 Oct 6, 2022; 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.