Individual provider Active NPI

Hector Felix Melendez-Dedos, DDS

  • Dentist
  • Rio Piedras, PR
National Provider Identifier
1811008709
Registry record updated Feb 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2101 Issued in PR
Practice address
Calle de Diego #369 Torre Hospital San Francisco
Suite 302
Rio Piedras, PR 00923
Phone
(787) 274-1505
Fax
(787) 250-7517
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2101 PR Primary
Dentist 122300000X 044107 1 NY

Addresses

Primary practice location

Calle de Diego #369 Torre Hospital San Francisco
Suite 302
Rio Piedras, PR 00923

Mailing address

PO Box 367228
San Juan, PR 00936-7228
Phone (787) 273-7648

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
044107 1NYMDDentist
2101PRMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581292800000",
    "number": "1811008709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 367228",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009367228",
            "telephone_number": "787-273-7648",
            "fax_number": "787-250-7517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE DE DIEGO #369 TORRE HOSPITAL SAN FRANCISCO",
            "address_2": "SUITE 302",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "00923",
            "telephone_number": "787-274-1505",
            "fax_number": "787-250-7517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELENDEZ-DEDOS",
        "first_name": "HECTOR",
        "middle_name": "FELIX",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PR",
            "license": "2101",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "044107 1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Piedras, PR

Sources for this page

Verify at the official NPI Registry.