Active NPI
Jose Emanuel Alicea Melero
- Emergency Medicine Physician
- Aibonito, PR
National Provider Identifier
1275637431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 9552
- 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, 2019
- 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 |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9552 | PR | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mennonite General Hospital Inc. | Current | Accepting new patients | |
| Mennonite General Hospital Inc | Current | Accepting new patients | |
| Cuerpo de Emergencias Medicas de | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- General Acute Care Hospital
- Aibonito, PR
- NPI 1851320394
-
dba Centro de Salud Conductual Menonita CIMA-Ponce
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Ponce, PR
- NPI 1144099813
-
- Land Ambulance
- Guaynabo, PR
- NPI 1316993017
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
- Advance Life Care Ambulance LLC
- Wilfredo Afanador Montalvo, M.D.
- Aibonito X Ray Corp
- Aibonito Xray
- Ashley Crystal Albertorio Ortiz, MS, MSW
- Bethzaida Alicea Perez
- Dayanara Alvarado Garcia, LCSW
- Jose Rafael Alvarado Mercado, MD
- Teresita De Jesus Alvarado-Berrios, RPH
- Carmen E. Alvarez Berrios, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2019; 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.