Active NPI
Carmen Lisandra Melendez, OT
- Occupational Therapist
- Trujillo Alto, PR
National Provider Identifier
1780885152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 404
- Practice address
- Carr 846 Eag 198 Bo Las Cuevas
K 2.4
Trujillo Alto, PR 00926-9203 - Phone
- (787) 755-6800
- Fax
- (787) 760-1598
- NPI assigned
- May 31, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 404 | PR | Primary |
Addresses
Primary practice location
Carr 846 Eag 198 Bo Las Cuevas
K 2.4
Trujillo Alto, PR 00926-9203
Mailing address
174 Calle Andres Narvaez
Bo Barahona
Morovis, PR 00687
Phone (787) 862-8055
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 |
|---|---|---|---|
| 404 | PR | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780885152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "174 CALLE ANDRES NARVAEZ",
"address_2": "BO BARAHONA",
"city": "MOROVIS",
"state": "PR",
"postal_code": "00687",
"telephone_number": "787-862-8055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 846 EAG 198 BO LAS CUEVAS",
"address_2": "K 2.4",
"city": "TRUJILLO ALTO",
"state": "PR",
"postal_code": "009269203",
"telephone_number": "787-755-6800",
"fax_number": "787-760-1598"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELENDEZ",
"first_name": "CARMEN",
"middle_name": "LISANDRA",
"name_prefix": "Miss",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PR",
"license": "404",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Trujillo Alto, 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.