Individual provider Active NPI

Jose Emanuel Alicea Melero

  • Emergency Medicine Physician
  • Aibonito, PR
National Provider Identifier
1275637431
Registry record updated Jul 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
9552 Issued in PR
Practice address
Calle Jose C Vazquez
Bo Caonillas
Aibonito, PR 00705-0070
Phone
(787) 735-7969
NPI assigned
Sep 11, 2006
Last updated
Jul 5, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 9552 PR Primary

Addresses

Primary practice location

Calle Jose C Vazquez
Bo Caonillas
Aibonito, PR 00705-0070

Mailing address

519 Camino Miramontes
Gurabo, PR 00778-5265
Phone (787) 319-9724

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
I20190710000132 PR Practitioner - Emergency Medicine 5698826105 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9552PRMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mennonite General Hospital Inc. CurrentSince Jan 20, 2019 Accepting new patients
Mennonite General Hospital Inc CurrentSince Jan 20, 2019 Accepting new patients
Cuerpo de Emergencias Medicas de PastSince Mar 2, 2009 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jose.aliceamelero.p1@direct.vitacare.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562284800000",
    "number": "1275637431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 CAMINO MIRAMONTES",
            "city": "GURABO",
            "state": "PR",
            "postal_code": "007785265",
            "telephone_number": "787-319-9724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE JOSE C VAZQUEZ",
            "address_2": "BO CAONILLAS",
            "city": "AIBONITO",
            "state": "PR",
            "postal_code": "007050070",
            "telephone_number": "787-735-7969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALICEA MELERO",
        "first_name": "JOSE",
        "middle_name": "EMANUEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-11",
        "last_updated": "2019-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PR",
            "license": "9552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aibonito, PR

Sources for this page

Verify at the official NPI Registry.