Individual provider Active NPI

Anthony Melendez, Berrios, M.D.

  • General Practice Physician
  • Guayanilla, PR
National Provider Identifier
1275695249
Registry record updated Aug 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
13392 Issued in PR
Practice address
15 Calle Rufina
Guayanilla, PR 00656-1813
Phone
(787) 317-9210
NPI assigned
Dec 15, 2006
Last updated
Aug 22, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 13392 PR Primary

Addresses

Primary practice location

15 Calle Rufina
Guayanilla, PR 00656-1813

Mailing address

C2 Hacienda Olivieri
Santa Maria
Guayanilla, PR 00656-1504
Phone (787) 317-9210

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
I20070905000395 PR Practitioner - General Practice 2567555618 Practice locations: Guayanilla, PR; Juncos, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13392PRMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313971200000",
    "number": "1275695249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "C2 HACIENDA OLIVIERI",
            "address_2": "SANTA MARIA",
            "city": "GUAYANILLA",
            "state": "PR",
            "postal_code": "006561504",
            "telephone_number": "787-317-9210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 CALLE RUFINA",
            "city": "GUAYANILLA",
            "state": "PR",
            "postal_code": "006561813",
            "telephone_number": "787-317-9210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELENDEZ, BERRIOS",
        "first_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2011-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "13392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guayanilla, PR

Sources for this page

Verify at the official NPI Registry.