Individual provider Active NPI

Jose Melendez, M.D.

  • Cardiovascular Disease Physician
  • Vega Alta, PR
National Provider Identifier
1386776862
Registry record updated Apr 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
9994 Issued in PR
Practice address
2 Centro Gran Caribe
Vega Alta, PR 00692-6756
Phone
(787) 858-0725
NPI assigned
Mar 11, 2007
Last updated
Apr 26, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 9994 PR Primary

Addresses

Primary practice location

2 Centro Gran Caribe
Vega Alta, PR 00692-6756

Mailing address

PO Box 1481
Vega Alta, PR 00692-1481
Phone (787) 858-0725

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
I20080507000460 PR Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1850470428 Reassigns benefits to 3 organizations
Practice locations: Vega Alta, PR

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
University of Puerto Rico School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Corporacion Ortiz Negron Centro Radiologico CorozalGroup PAC ID 1153320379, 3 clinicians
CCS PSCGroup PAC ID 0244548485, 12 clinicians

Practice addresses (Care Compare)

14 Calle Gandara
Corozal, PR 00783-2057
Phone (787) 802-1260

Doctor' S Ctr Manat Carr
2 KM 47.7
Manati, PR 00674-4894
Phone (787) 633-2671

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9994PRMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medical Services, PSC Current Accepting new patients
Hospitalist Medical Services, PSC CurrentSince Jun 19, 2019 Accepting new patients
CCS PSC Cardiovascular Disease CurrentSince Mar 15, 2023 Accepting new patients
Corporacion Ortiz Negron Centro Radiologico Corozal CurrentSince Feb 3, 2014 Accepting new patients
Multispecialty Group of Puerto Rico PSC PastSince Jun 29, 2025 Accepting new patients
Laboratorio Cardiovascular del Norte Inc Past Accepting new patients

Locations

14 Calle Gandara
Corozal, PR 00783
Phone (787) 802-1212

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1173571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714089600000",
    "number": "1386776862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1481",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "006921481",
            "telephone_number": "787-858-0725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CENTRO GRAN CARIBE",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "006926756",
            "telephone_number": "787-858-0725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELENDEZ",
        "first_name": "JOSE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-11",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "9994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vega Alta, PR

Sources for this page

Verify at the official NPI Registry.