Jacqueline Y Melendez, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00639900 Issued in NJ

Practice address

4246 Street #2 KM 43.0
Vega Baja, PR 00693-0069

Phone

(787) 369-6591

Fax

(873) 690-7117

NPI assigned

Oct 2, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1349136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1841542719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4246 CARR 2",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006934128",
            "telephone_number": "787-369-6591",
            "fax_number": "787-369-0711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4246 STREET #2 KM 43.0",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006930069",
            "telephone_number": "787-369-6591",
            "fax_number": "873-690-7117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELENDEZ",
        "first_name": "JACQUELINE",
        "middle_name": "Y",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-02",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00639900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandinid Mejias, SLP
• Melao Chiropractic LLC
• Melendez Gastroenterology Institute, LLC
• Adelitza Melendez Valle
• Angeles Marie Melendez
• Jorge A Melendez, OD
• Nancy Analiz Melendez
• Kaycha Maria Mena Martinez
• Domingo A Mendez, MD
• Jose A Mercado

• Optometrist in Vega Baja, PR
• Providers in Vega Baja, PR by specialty
• Optometrist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.