Active NPI
Jennie Melero, MD
- Pediatric Hospice and Palliative Medicine Physician
- Ponce, PR
National Provider Identifier
1700091188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Hospice and Palliative Medicine Physician
- License
- 6015
- Practice address
- 27 St. V V 25 Ext. Alta Vista
Ponce, PR 00731 - Phone
- (787) 844-0675
- NPI assigned
- May 11, 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 |
|---|---|---|---|---|
| Pediatric Hospice and Palliative Medicine Physician | 2080H0002X | 6015 | PR | Primary |
Addresses
Primary practice location
27 St. V V 25 Ext. Alta Vista
Ponce, PR 00731
Mailing address
27St. V V 25 Ext. Alta Vista
Ponce, PR 00731
Phone (787) 844-0675
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05202DM7 | Other | PR | STATE NARCOTIC LICENCE |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6015 | PR | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700091188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27ST. V V 25 EXT. ALTA VISTA",
"city": "PONCE",
"state": "PR",
"postal_code": "00731",
"telephone_number": "787-844-0675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 ST. V V 25 EXT. ALTA VISTA",
"city": "PONCE",
"state": "PR",
"postal_code": "00731",
"telephone_number": "787-844-0675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELERO",
"first_name": "JENNIE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2080H0002X",
"taxonomy_group": "",
"desc": "Pediatrics, Hospice and Palliative Medicine",
"state": "PR",
"license": "6015",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE NARCOTIC LICENCE",
"identifier": "05202DM7",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ponce, 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.