Active NPI
Jose E Melendez Maldonado, M.D.
- Nuclear Medicine Physician
- Caguas, PR
National Provider Identifier
1700814084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nuclear Medicine Physician
- License
- 14048
- Practice address
- 201 Calle Gautier Benitez
Consolidated Medical Plaza, Suite 101
Caguas, PR 00725-5527 - Phone
- (787) 744-5278
- NPI assigned
- Jun 28, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Medicine Physician | 207U00000X | 14048 | PR | Primary |
Addresses
Primary practice location
201 Calle Gautier Benitez
Consolidated Medical Plaza, Suite 101
Caguas, PR 00725-5527
Mailing address
100 Roseville Dr
Apt 22
San Juan, PR 00926-9645
Phone (787) 448-0747
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nuclear Medicine
- Education
- Ponce School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13 Calle San Juan
Rio Grande, PR 00745-3015
Phone (787) 887-7055
201 Calle Gautier Benitez
Caguas, PR 00725-5527
Phone (787) 744-5278
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14048 | PR | MD | Nuclear Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rio Grande Nuclear PSC | Nuclear Medicine | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Rio Grande, PR
- NPI 1780653121
-
- Nuclear Medicine Physician
- Caguas, PR
- NPI 1275630527
-
- Nuclear Medicine Physician
- Rio Grande, PR
- NPI 1447524236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279411200000",
"number": "1700814084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 ROSEVILLE DR",
"address_2": "APT 22",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009269645",
"telephone_number": "787-448-0747",
"fax_number": "787-744-5433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 CALLE GAUTIER BENITEZ",
"address_2": "CONSOLIDATED MEDICAL PLAZA, SUITE 101",
"city": "CAGUAS",
"state": "PR",
"postal_code": "007255527",
"telephone_number": "787-744-5278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELENDEZ MALDONADO",
"first_name": "JOSE",
"middle_name": "E",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-28",
"last_updated": "2010-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "207U00000X",
"taxonomy_group": "",
"desc": "Nuclear Medicine",
"state": "PR",
"license": "14048",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Caguas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2010; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.