Coralys Melendez Lebron, MD
Individual provider Active NPI General Practice Physician · Bayamon, PR
NPI 1235566928 · NPPES record last updated Sep 26, 2013
Key facts
- NPI
- 1235566928
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- 29657R (PR)
- Practice address
- C10 Camino de Lirios
Bayamon, PR 00961-3966 - Phone
- (787) 431-2461
- NPI assigned
- Sep 26, 2013
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180122001451 | FL | Practitioner - Emergency Medicine | 8729347646 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29657R | PR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Services of FL, LLC | Current |
Accepting new patients |
Locations
322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858
14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 29657R | PR | Yes |
Addresses
Primary practice location
C10 Camino de Lirios
Bayamon, PR 00961-3966
Mailing address
C10 Camino de Lirios
Bayamon, PR 00961-3966
Phone (787) 431-2461
Other providers in Bayamon, PR
- Jose A Mejias Fernandez
- Taisha Mejias Rivera
- Lemuel Melecio Rodriguez
- Lemuel Francisco Melecio
- Edwin Francisco Melendez Bermudez
- Juan Gabriel Melendez Rivera
- Dianelyris Melendez Ronda
- Gilberto Melendez Sanchez
- Myriam I. Melendez-Rosa
- Gadiel Melendez
All providers in Bayamon, PR · General Practice Physician in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.