Active NPI
Melvin Suarez Capetillo, P.A.
- Physician Assistant
- Bayamon, PR
National Provider Identifier
1649669862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 000779-P.A.
- Practice address
- B7 Calle Santa Cruz
Bayamon, PR 00961-6902 - Phone
- (787) 780-9316
- NPI assigned
- Jan 12, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Physician Assistant | 363A00000X | 000779-P.A. | PR | Primary |
Addresses
Primary practice location
B7 Calle Santa Cruz
Bayamon, PR 00961-6902
Mailing address
B7 Calle Santa Cruz
Bayamon, PR 00961-6902
Phone (787) 780-9316
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000779-P.A. | PR | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617148800000",
"number": "1649669862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "B7 CALLE SANTA CRUZ",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009616902",
"telephone_number": "787-780-9316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "B7 CALLE SANTA CRUZ",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009616902",
"telephone_number": "787-780-9316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUAREZ CAPETILLO",
"first_name": "MELVIN",
"credential": "P.A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-01-12",
"last_updated": "2021-03-31",
"certification_date": "2021-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PR",
"license": "000779-P.A.",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.