Individual provider Active NPI

Melissa Mendez Morales, M.D.

  • Neurology Physician
  • Bayamon, PR
National Provider Identifier
1205032604
Registry record updated Feb 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
12920 Issued in PR
Practice address
64 Calle Santa Cruz Ste 205
Bayamon, PR 00961-7004
Phone
(787) 778-0329
Fax
(787) 778-0329
NPI assigned
Jun 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 12920 PR Primary

Addresses

Primary practice location

64 Calle Santa Cruz Ste 205
Bayamon, PR 00961-7004

Mailing address

64 Calle Santa Cruz Ste 205
Bayamon, PR 00961-7004
Phone (787) 778-0329

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150210001517 PR Practitioner - Neurology 2961478268 Reassigns benefits to 1 organization
Practice locations: Bayamon, PR

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Puerto Rico School of Medicine, 1995
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

64 Calle Santa Cruz
Suite 205
Bayamon, PR 00961-7004
Phone (787) 778-0329

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12920PRMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Laboratorio de Sueno Y Neurologia de PR CurrentSince Sep 13, 2022 Accepting new patients
Health Solution Corp CurrentSince Sep 8, 2019 Accepting new patients
San Pablo Family Practice Inc CurrentSince Feb 24, 2022 Accepting new patients
Vital-Care Medical Center L.L.C. Past Accepting new patients

Locations

64 Calle Santa Cruz
Ste 101
Bayamon, PR 00961

64 Calle Santa Cruz
Ste 205
Bayamon, PR 00961
Phone (787) 473-8900

576 Paseo 1
San Juan, PR 00924
Phone (939) 223-1163

Organizations & group practices 4

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": "1182470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644796800000",
    "number": "1205032604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 CALLE SANTA CRUZ STE 205",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009617004",
            "telephone_number": "787-778-0329",
            "fax_number": "787-778-0329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 CALLE SANTA CRUZ STE 205",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009617004",
            "telephone_number": "787-778-0329",
            "fax_number": "787-778-0329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ MORALES",
        "first_name": "MELISSA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-22",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PR",
            "license": "12920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.