Active NPI
Miriam Haydee Melendez
- Nutrition Support Pharmacist
- Guaynabo, PR
National Provider Identifier
1679774624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Support Pharmacist
- License
- 2547
- Practice address
- Baxter Pharmacy
Sector Bechara Buchanam
Guaynabo, PR 00936 - Phone
- (787) 792-7550
- NPI assigned
- May 29, 2007
- 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 |
|---|---|---|---|---|
| Nutrition Support Pharmacist | 1835N1003X | 2547 | PR | Primary |
Addresses
Primary practice location
Baxter Pharmacy
Sector Bechara Buchanam
Guaynabo, PR 00936
Mailing address
PMB 587 HC-01
Box 29030
Caguas, PR 00725-8900
Phone (787) 747-3116
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2547 | Other | PR | PHARMACIST LICENSE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2547 | PR | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679774624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PMB 587 HC-01",
"address_2": "BOX 29030",
"city": "CAGUAS",
"state": "PR",
"postal_code": "007258900",
"telephone_number": "787-747-3116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BAXTER PHARMACY",
"address_2": "SECTOR BECHARA BUCHANAM",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "00936",
"telephone_number": "787-792-7550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELENDEZ",
"first_name": "MIRIAM",
"middle_name": "HAYDEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1835N1003X",
"taxonomy_group": "",
"desc": "Pharmacist, Nutrition Support",
"state": "PR",
"license": "2547",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE",
"identifier": "2547",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Guaynabo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.