Individual provider Active NPI

Jose E Melendez Maldonado, M.D.

  • Nuclear Medicine Physician
  • Caguas, PR
National Provider Identifier
1700814084
Registry record updated Jul 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Medicine PhysicianTaxonomy code 207U00000X
License
14048 Issued in PR
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

Updated by the provider on Jul 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070321000231 PR Practitioner - Nuclear Medicine 9436252962 Reassigns benefits to 2 organizations
Practice locations: Caguas, PR

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
Caparra Cardiology and Electrophisiology Center PSCGroup PAC ID 9335265818, 2 clinicians
Nuscan CSPGroup PAC ID 4486753472, 3 clinicians

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

LicenseStateTypeSpecialty
14048PRMDNuclear Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rio Grande Nuclear PSC Nuclear Medicine PastSince Jul 30, 2017 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.

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

Verify at the official NPI Registry.