Yasser Ricardo Awad Melendez, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

17429 Issued in PR

Practice address

17 Calle Flamboyan
Casa I - 10
Manati, PR 00674-5845

Phone

(787) 854-4715

NPI assigned

Jun 2, 2009

Last updated

Jul 20, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1243900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311120000000",
    "number": "1649406950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 CALLE FLAMBOYAN",
            "address_2": "CASA I - 10",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006745845",
            "telephone_number": "787-854-4715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 CALLE FLAMBOYAN",
            "address_2": "CASA I - 10",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006745845",
            "telephone_number": "787-854-4715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AWAD MELENDEZ",
        "first_name": "YASSER",
        "middle_name": "RICARDO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-02",
        "last_updated": "2011-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Athena Health Group, Inc.
• Atlantic Pathology
• Atlantis Health Care Group Puerto Rico, Inc. (Renal Centre of Manati)
• Michelle Sugeiliz Aviles Perez, MD
• Wilfredo Jose Aviles, MD
• Jossette Axtmayer-Tolosa
• Giselle Ayala Flores
• Angel Rafael Ayala Sanchez Sr., PSY.D.
• Yaidelise Ayala-Villalobos, MS, SLP
• Reynaldo Ayala

• General Practice Physician in Manati, PR
• Providers in Manati, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2011; 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.

Verify at the official NPI Registry.