Individual provider Active NPI

Bebelin Melendez Pagan

  • Infectious Disease Physician
  • San Juan, PR
National Provider Identifier
1366561557
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
13724 Issued in PR
Practice address
300 Blvd Ramallo
Carr # 1 Off 213
San Juan, PR 00926-9786
Phone
(787) 748-3818
Fax
(787) 748-3818
NPI assigned
Mar 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 13724 PR Primary

Addresses

Primary practice location

300 Blvd Ramallo
Carr # 1 Off 213
San Juan, PR 00926-9786

Mailing address

89 Ave de Diego Ste 105
PMB 619
San Juan, PR 00927-6370
Phone (787) 748-3818

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
I20040130000004 PR Practitioner - Infectious DiseasePractitioner - Internal Medicine 8325941057 Reassigns benefits to 1 organization

National Provider Directory

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

Organizations & group practices 1

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": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366561557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 AVE DE DIEGO STE 105",
            "address_2": "PMB 619",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009276370",
            "telephone_number": "787-748-3818",
            "fax_number": "787-748-3818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BLVD RAMALLO",
            "address_2": "CARR # 1 OFF 213",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009269786",
            "telephone_number": "787-748-3818",
            "fax_number": "787-748-3818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELENDEZ PAGAN",
        "first_name": "BEBELIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "PR",
            "license": "13724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.