Mercedes Melendez
Individual provider Active NPI Other Specialist/Technologist · Ciales, PR
NPI 1487992103 · NPPES record last updated Jan 31, 2013
Key facts
- NPI
- 1487992103
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Other Specialist/Technologist 246Z00000X
- License
- 3067 (PR)
- Practice address
- Carretera Princiapl 149
Prymed Ciales
Ciales, PR 00638-0000 - Phone
- (787) 871-0601
- NPI assigned
- Jan 31, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3067 | PR | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Specialist/Technologist | 246Z00000X | 3067 | PR | Yes |
Addresses
Primary practice location
Carretera Princiapl 149
Prymed Ciales
Ciales, PR 00638-0000
Mailing address
Calle D Bloque O Num. 17
Extension Guarico
Vega Baja, PR 00693
Phone (787) 209-0714
NPI Registry JSON
{
"created_epoch": "1359590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359590400000",
"number": "1487992103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CALLE D BLOQUE O NUM. 17",
"address_2": "EXTENSION GUARICO",
"city": "VEGA BAJA",
"state": "PR",
"postal_code": "00693",
"telephone_number": "787-209-0714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARRETERA PRINCIAPL 149",
"address_2": "PRYMED CIALES",
"city": "CIALES",
"state": "PR",
"postal_code": "006380000",
"telephone_number": "787-871-0601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELENDEZ",
"first_name": "MERCEDES",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-31",
"last_updated": "2013-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "246Z00000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other",
"state": "PR",
"license": "3067",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ciales, PR
- Gladys E. Marrero
- Mayra E Martinez Medina
- Erica Martinez
- Medical Transit
- Mednova LLC
- Miranda Ambulance Inc
- Jamiel Miranda
- Ruth B Miranda
- Suzette Cristina Miranda
- Kareen A Montanez Rivera
All providers in Ciales, PR · Other Specialist/Technologist in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 31, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.