Active NPI
Luis Antonio Melendez, M.D.
- General Practice Physician
- Guayama, PR
National Provider Identifier
1235382250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 17387
- Practice address
- 41 Calle San Jose W
Guayama, PR 00784-5322 - Phone
- (787) 864-5528
- NPI assigned
- Nov 4, 2008
- Last updated
- Nov 4, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 17387 | PR | Primary |
Addresses
Primary practice location
41 Calle San Jose W
Guayama, PR 00784-5322
Mailing address
41 W San Jose St
Guayama, PR 00784-5322
Phone (787) 864-5528
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17387 | Other | PR | PUERTO RICO MEDICAL LICENSE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
7 Calle Sol
Arroyo, PR 00714-2703
Phone (787) 839-0379
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oficina Medica Dr. Luis Melendez Gomez | General Practice | Current | Accepting new patients |
| Sono Hope PR LLC | Current | Accepting new patients | |
| E M a Med Serv CSP | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- General Practice Physician
- Arroyo, PR
- NPI 1730773532
-
- Health Service Clinic/Center
- Carolina, PR
- NPI 1932940145
-
- Primary Care Clinic/Center
- Arroyo, PR
- NPI 1962905729
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Arecibo, PR
- NPI 1609868645
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225756800000",
"number": "1235382250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 W SAN JOSE ST",
"city": "GUAYAMA",
"state": "PR",
"postal_code": "007845322",
"telephone_number": "787-864-5528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41 CALLE SAN JOSE W",
"city": "GUAYAMA",
"state": "PR",
"postal_code": "007845322",
"telephone_number": "787-864-5528"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELENDEZ",
"first_name": "LUIS",
"middle_name": "ANTONIO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-11-04",
"last_updated": "2008-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "17387",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PUERTO RICO MEDICAL LICENSE",
"identifier": "17387",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Guayama, PR
- Medical Doctors With Alternative Therapies, PSC
- Juan A Medina Ruiz Sr., MD
- Emmanuel Medina, 1666P
- Lianne Stephanie Melendez Cora, PHARMD
- Luis R Melendez del Valle, MD
- Mennonite General Hospital Inc. (Centro de Salud Conductual Menonita CIMA-Guayama)
- Mennonite General Hospital, Inc (Centro de Salud Conductual Menonita ambulatorio Guayama)
- Karla M Mercado Pagan, MD
- Harry Mercado
- Mi Farmacia Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2008; 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.