Phillip P Melendez

Primary specialty

Home Modifications ContractorTaxonomy code 171WH0202X

License

406108 Issued in NM

Practice address

6191 Roadrunner Loop NE
Rio Rancho, NM 87144-5153

Phone

(505) 918-8991

NPI assigned

Aug 31, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1661904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1487374203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6191 ROADRUNNER LOOP NE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871445153",
            "telephone_number": "505-918-8991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6191 ROADRUNNER LOOP NE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871445153",
            "telephone_number": "505-918-8991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELENDEZ",
        "first_name": "PHILLIP",
        "middle_name": "P",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-31",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor, Home Modifications",
            "state": "NM",
            "license": "406108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Meier, NP
• Emily Hicks Melancon
• Casondra Melendez
• Daniel David Melendez
• Lisa Nicole Melendez, LMT
• Viviana Melero
• Tara Melograna, CCSW
• Raiza Stephanie Mena, CRNA
• Mended House Counseling
• Amber Mendoza

• Home Modifications Contractor in Rio Rancho, NM
• Providers in Rio Rancho, NM by specialty
• Home Modifications Contractor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.