Active NPI
Tamia Lee Rodriguez Melendez, M.D.
- General Practice Physician
- Cidra, PR
National Provider Identifier
1558780650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 018656
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 018656 | PR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cossma, Inc. | Current | Accepting new patients | |
| Cossma Inc | Current | Accepting new patients | |
| Cossma | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Primary Care Clinic/Center
- Cidra, PR
- NPI 1437235793
-
- Clinical Medical Laboratory
- Humacao, PR
- NPI 1407408347
-
- Primary Care Clinic/Center
- Cidra, PR
- NPI 1184026221
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.