Active NPI
Jorge Sigfrido Melendez, M.D.
- Family Medicine Physician
- Guaynabo, PR
National Provider Identifier
1497836993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 12322
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 12322 | PR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intermed Primary Care | Past | Accepting new patients | |
| Centro Medico Diagnostico Munoz Rivera | Past | Accepting new patients | |
| Mediko Medicina Primaria Corp | Past | 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.
-
- Radiology Clinic/Center
- Guaynabo, PR
- NPI 1932088838
-
- Primary Care Clinic/Center
- Caguas, PR
- NPI 1780632638
-
- Primary Care Clinic/Center
- Caguas, PR
- NPI 1609096981
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.