Active NPI
Jose Enrique Melendez
- Driver
- Cidra, PR
National Provider Identifier
1750845780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- 2150267
- Practice address
- 13 Villa Encantada
Cidra, PR 00739-9562 - Phone
- (787) 202-8328
- NPI assigned
- Jan 23, 2019
- Last updated
- Jan 23, 2019
- 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 |
|---|---|---|---|---|
| Driver | 172A00000X | 2150267 | PR | Primary |
Addresses
Primary practice location
13 Villa Encantada
Cidra, PR 00739-9562
Mailing address
13 Villa Encantada
Cidra, PR 00739-9562
Phone (787) 202-8328
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 |
|---|---|---|---|
| 2150267 | PR | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548201600000",
"number": "1750845780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13 VILLA ENCANTADA",
"city": "CIDRA",
"state": "PR",
"postal_code": "007399562",
"telephone_number": "787-202-8328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13 VILLA ENCANTADA",
"city": "CIDRA",
"state": "PR",
"postal_code": "007399562",
"telephone_number": "787-202-8328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELENDEZ",
"first_name": "JOSE",
"middle_name": "ENRIQUE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-01-23",
"last_updated": "2019-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "PR",
"license": "2150267",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cidra, PR
- Medical Family Center (Centro Servicios Ambulatorios)
- Medical Family Center Corp. (Farmacia Rabanal)
- Edwin Joel Medina Agosto, PSYCHOLOGIST
- Grace M Medina, MSW
- Medwell Center, LLC
- Yolyedmy Waleska Melendez, RPH
- Ruben Mendez Benabe, MD
- Angelie Mendez Fernandez, P.T.A., B.H.E
- Jaclyn I Mendez, PHARMD
- Nathaniel Mercado, PHARM.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.