Individual provider Active NPI

Paula Maria Buonomo Melendez

  • Child & Adolescent Psychiatry Physician
  • Ponce, PR
National Provider Identifier
1871098335
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
22354 Issued in PR
Practice address
388 Zona Ind Reparada 2
Ponce, PR 00716-2347
Phone
(787) 840-2575
NPI assigned
Mar 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 22354 PR
Child & Adolescent Psychiatry Physician 2084P0804X 22354 PR Primary

Addresses

Primary practice location

388 Zona Ind Reparada 2
Ponce, PR 00716-2347

Mailing address

PO Box 1445
Cidra, PR 00739-1445
Phone (787) 241-2742

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230814000027 PR Practitioner - Psychiatry 5890157515 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
22354PRMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tiber Health, Public Benefit Corporation Child & Adolescent Psychiatry CurrentSince Jul 1, 2023 Accepting new patients
Tiber Health, Public Benefit Corporation CurrentSince Jul 1, 2023 Accepting new patients
Tiber Health, Public Benefit Corporation CurrentSince Sep 29, 2024 Accepting new patients
Arist Medical Sciences University, Public Benefit Corporation Past Accepting new patients
Mennonite General Hospital Inc Past Accepting new patients
Centro de Salud Conductual Menonita Cima Past Accepting new patients

Locations

388 Zona Ind Reparada 2
Ponce, PR 00716
Phone (787) 813-5700

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1522108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1871098335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1445",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "007391445",
            "telephone_number": "787-241-2742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 ZONA IND REPARADA 2",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007162347",
            "telephone_number": "787-840-2575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUONOMO MELENDEZ",
        "first_name": "PAULA",
        "middle_name": "MARIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-27",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PR",
            "license": "22354",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "PR",
            "license": "22354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.