Dr Samuel Melendez Internal Medicine Services PSC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

10288 Issued in PR

Legal business name

DR SAMUEL MELENDEZ INTERNAL MEDICINE SERVICES PSC

Practice address

Carr 2
Ave. Hostos 770 Suite 205
Mayaguez, PR 00682-6353

Phone

(787) 831-3845

Fax

(787) 831-3845

NPI assigned

Dec 2, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Samuel Melendez, M.D.

Title

President

Phone

(787) 831-3845

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samuel Melendez del Valle, M.D.

  • Primary Care Clinic/Center
  • Mayaguez, PR
  • NPI 1396719548
  Medicare reassignment NPD
• Alvin Javier Martinez, MD

  • General Practice Physician
  • Mayaguez, PR
  • NPI 1922957810
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1291248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291248000000",
    "number": "1770885352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 250",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006810250",
            "telephone_number": "787-831-3845",
            "fax_number": "787-831-3845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 2",
            "address_2": "AVE. HOSTOS 770 SUITE 205",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006826353",
            "telephone_number": "787-831-3845",
            "fax_number": "787-831-3845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR SAMUEL MELENDEZ INTERNAL MEDICINE SERVICES PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-02",
        "last_updated": "2010-12-02",
        "status": "A",
        "authorized_official_last_name": "MELENDEZ",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-831-3845",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "PR",
            "license": "10288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Juan Doreste Santiago, DNP, CRNA
• Dr Eduardo E Rodes Oliver CSP
• Dr Miguel a. Velasco Medicina Interna-CSP
• Dr Morell S Eye Care Clinic CSP
• Dr Osvaldo Dario Bazil Mieses Medical Services LLC
• Dr. Albin Martinez Lugo, Ginecologo-Obstetra, C.S.P.
• Dr. Carlos M. Martinez Rivera CSP
• Dr. Edgar Perez Dental Office PSC
• Dr. Eduardo a. Martinez Dba
• Dr. Jansen Colberg Oftalmologo CSP

• Primary Care Clinic/Center in Mayaguez, PR
• Providers in Mayaguez, PR by specialty
• Primary Care Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.