Individual provider Active NPI

Jorge Sigfrido Melendez, M.D.

  • Family Medicine Physician
  • Guaynabo, PR
National Provider Identifier
1497836993
Registry record updated Sep 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
12322 Issued in PR
Practice address
59 Ave Esmeralda
Urb.Munoz Rivera
Guaynabo, PR 00969-4429
Phone
(787) 720-3234
Fax
(787) 272-9729
NPI assigned
Oct 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 12322 PR Primary

Addresses

Primary practice location

59 Ave Esmeralda
Urb.Munoz Rivera
Guaynabo, PR 00969-4429

Mailing address

59 Ave Esmeralda
Urb.Munoz Rivera
Guaynabo, PR 00969-4429
Phone (787) 720-3234

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
I20050104000583 PR Practitioner - Family Practice 7719935063 Practice locations: Guaynabo, PR

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

59 Av Esmeralda
Guaynabo, PR 00969

59 Av Esmeralda
Urb Munoz Rivera
Guaynabo, PR 00969-4429

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12322PRMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Intermed Primary Care Past Accepting new patients
Centro Medico Diagnostico Munoz Rivera PastSince Jul 23, 2014 Accepting new patients
Mediko Medicina Primaria Corp PastSince Aug 1, 2022 Accepting new patients

Organizations & group practices 3

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": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410825600000",
    "number": "1497836993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 AVE ESMERALDA",
            "address_2": "URB.MUNOZ RIVERA",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009694429",
            "telephone_number": "787-720-3234",
            "fax_number": "787-272-9729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 AVE ESMERALDA",
            "address_2": "URB.MUNOZ RIVERA",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009694429",
            "telephone_number": "787-720-3234",
            "fax_number": "787-272-9729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELENDEZ",
        "first_name": "JORGE",
        "middle_name": "SIGFRIDO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2014-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "12322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

Verify at the official NPI Registry.