Individual provider Active NPI

Tamia Lee Rodriguez Melendez, M.D.

  • General Practice Physician
  • Cidra, PR
National Provider Identifier
1558780650
Registry record updated Dec 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
018656 Issued in PR
Practice address
Ave El Jibaro Carr 172 KM 13.5
Cidra, PR 00739-0073
Phone
(787) 739-8182
NPI assigned
Apr 16, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 018656 PR Primary

Addresses

Primary practice location

Ave El Jibaro Carr 172 KM 13.5
Cidra, PR 00739-0073

Mailing address

P O Box 1316
Cidra, PR 00739

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
I20210413002066 PR Practitioner - General Practice 2264654060 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
018656PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cossma, Inc. CurrentSince Dec 29, 2020 Accepting new patients
Cossma Inc CurrentSince Dec 29, 2020 Accepting new patients
Cossma PastSince Dec 13, 2020 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BGGFBD

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": "1397606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1558780650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 1316",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "00739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE EL JIBARO CARR 172 KM 13.5",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "007390073",
            "telephone_number": "787-739-8182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ MELENDEZ",
        "first_name": "TAMIA",
        "middle_name": "LEE",
        "name_prefix": "Miss",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-16",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "018656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cidra, PR

Sources for this page

Verify at the official NPI Registry.