Individual provider Active NPI

Emilio Encarnacion - Melendez, MD

  • General Practice Physician
  • Caguas, PR
National Provider Identifier
1316041775
Registry record updated Jun 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
13963 Issued in PR
Practice address
Plaza del Carmen #24
Caguas, PR 00725
Phone
(787) 286-6060
Fax
(787) 286-6161
NPI assigned
Sep 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2020

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 13963 PR Primary

Addresses

Primary practice location

Plaza del Carmen #24
Caguas, PR 00725

Mailing address

500 Grand Blvd Los Prados
Cond. Serena Apartado 29203
Caguas, PR 00727
Phone (787) 593-1815

Other practice location 1

200 -140 Avenida Rafael Cordero PMB 491
Caguas, PR 00725
Phone (787) 961-3131

Other identifiers 8

IdentifierTypeStateIssuer
11913963OtherGLOBAL HEALTH
21914OtherSSS
7450057OtherHUMANA
201796OtherUTI
3678OtherPREFRED MEDICAL
S00227EOtherMMM
3025OtherAMERICAN H
9285OtherIMC

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
I20031103000280 PR Practitioner - General Practice 9537071113 Reassigns benefits to 2 organizations
Practice locations: Caguas, PR

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Ambulatory Services Inc. CurrentSince Jun 1, 2020 Accepting new patients
Neomed Center, Inc. CurrentSince May 11, 2024 Accepting new patients
Neomed Center, Inc CurrentSince May 11, 2024 Accepting new patients
Neomed Center, Inc Current Accepting new patients
Sar Medical Services LLC General Practice Past Accepting new patients

Locations

24 Carr 172
Caguas, PR 00727
Phone (787) 685-9520

130 Calle Carite
Trujillo Alto, PR 00976
Phone (787) 292-3120

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592265600000",
    "number": "1316041775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 GRAND BLVD LOS PRADOS",
            "address_2": "COND. SERENA APARTADO 29203",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00727",
            "telephone_number": "787-593-1815",
            "fax_number": "787-286-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PLAZA DEL CARMEN #24",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-286-6060",
            "fax_number": "787-286-6161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 -140 AVENIDA RAFAEL CORDERO PMB 491",
            "address_purpose": "LOCATION",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "country_code": "US",
            "telephone_number": "787-961-3131",
            "fax_number": "787-961-3131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENCARNACION - MELENDEZ",
        "first_name": "EMILIO",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "13963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GLOBAL HEALTH",
            "identifier": "11913963",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSS",
            "identifier": "21914",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "7450057",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UTI",
            "identifier": "201796",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFRED MEDICAL",
            "identifier": "3678",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMM",
            "identifier": "S00227E",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN H",
            "identifier": "3025",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IMC",
            "identifier": "9285",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.