Individual provider Active NPI

Edwin Melendez Rios, M.D.

  • Gastroenterology Physician
  • Rio Piedras, PR
National Provider Identifier
1467556159
Registry record updated Sep 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
6744 Issued in PR
Practice address
Hospital Metropolitano Carr 21
Oficina 203
Rio Piedras, PR 00921
Phone
(787) 793-2462
Fax
(787) 774-1615
NPI assigned
Sep 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 6744 PR Primary

Addresses

Primary practice location

Hospital Metropolitano Carr 21
Oficina 203
Rio Piedras, PR 00921

Mailing address

P O Box 1908
Guaynabo, PR 00970
Phone (787) 793-2462

Other identifiers 3

IdentifierTypeStateIssuer
068393OtherPRCRUZ AZUL
98418MEOtherPRTRIPLE S
2513OtherPRINTERNATIONAL MEDICAL CAR

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
I20120917000634 PR Practitioner - GastroenterologyPractitioner - Internal Medicine 8628226610 Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Puerto Rico School of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1785 Carr
21 Suite 209
San Juan, PR 00921-3399
Phone (787) 793-2462

PO Box
Guaynabo, PR 00970

PO Box
Suite 1132
Trujillo Alto, PR 00977-1132

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux42

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6744PRMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505260800000",
    "number": "1467556159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 1908",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00970",
            "telephone_number": "787-793-2462",
            "fax_number": "787-774-1615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HOSPITAL METROPOLITANO CARR 21",
            "address_2": "OFICINA 203",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "00921",
            "telephone_number": "787-793-2462",
            "fax_number": "787-774-1615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELENDEZ RIOS",
        "first_name": "EDWIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-12",
        "last_updated": "2017-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PR",
            "license": "6744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL",
            "identifier": "068393",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S",
            "identifier": "98418ME",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERNATIONAL MEDICAL CAR",
            "identifier": "2513",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Piedras, PR

Sources for this page

Verify at the official NPI Registry.