NPIMap

Organization Active NPI

Melendez Gastroenterology Institute, LLC

  • Gastroenterology Physician
  • Vega Baja, PR
National Provider Identifier
1588040281
Registry record updated Aug 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
16955 Issued in PR
Legal business name
MELENDEZ GASTROENTEROLOGY INSTITUTE, LLC
Practice address
4246 Carretera 2 KM 43
Vega Baja, PR 00693-4128
Phone
(787) 884-7218
NPI assigned
Aug 4, 2015
Last updated
Aug 4, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2015

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

Authorized official

Name
Dr. Jorge David Melendez Hernandez, M.D.NPI 1841491321
Title
President
Phone
(787) 308-6859

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endoscopy Clinic/Center 261QE0800X 16955 PR
Gastroenterology Physician 207RG0100X 16955 PR Primary

Addresses

Primary practice location

4246 Carretera 2 KM 43
Vega Baja, PR 00693-4128

Mailing address

4246 Carretera 2 KM 43
Vega Baja, PR 00693-4128
Phone (787) 884-7218

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151104001213 PR Part B Supplier - Clinic/Group Practice 3375853328 Receives reassigned benefits from 1 practitioner
Practice locations: Vega Baja, PR

National Provider Directory

National Provider Directory

Locations

4246 Carr 2
#43
Vega Baja, PR 00693
Phone (787) 884-7218

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1438646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438646400000",
    "number": "1588040281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4246 CARRETERA 2 KM 43",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006934128",
            "telephone_number": "787-884-7218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4246 CARRETERA 2 KM 43",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006934128",
            "telephone_number": "787-884-7218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELENDEZ GASTROENTEROLOGY INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-04",
        "last_updated": "2015-08-04",
        "status": "A",
        "authorized_official_last_name": "MELENDEZ HERNANDEZ",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-308-6859",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": "PR",
            "license": "16955",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PR",
            "license": "16955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vega Baja, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.