Individual provider Active NPI

Eliut Melendez Ortiz, MD

  • Internal Medicine Physician
  • San Juan, PR
National Provider Identifier
1891761896
Registry record updated Dec 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
10154 Issued in PR
Practice address
369 Calle de Diego
Torre San Francisco, Suite 509
San Juan, PR 00923-3003
Phone
(787) 282-3000
Fax
(787) 767-2272
NPI assigned
Feb 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 10154 PR Primary

Addresses

Primary practice location

369 Calle de Diego
Torre San Francisco, Suite 509
San Juan, PR 00923-3003

Mailing address

PO Box 362186
San Juan, PR 00936-2186
Phone (787) 282-3000

Other identifiers 5

IdentifierTypeStateIssuer
991841OtherPRMMM
82936OtherPRTRIPLE-S
9250091OtherPRHUMANA
2724OtherPRPREFERRED MEDICARE CHOICE
210154OtherPRMCS

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
I20110110000754 PR Practitioner - Internal MedicinePractitioner - Other (Physician) 1658560461 Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

369 Calle de Diego
San Juan, PR 00923-3003
Phone (787) 282-6039

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293062400000",
    "number": "1891761896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 362186",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009362186",
            "telephone_number": "787-282-3000",
            "fax_number": "787-767-2272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "369 CALLE DE DIEGO",
            "address_2": "TORRE SAN FRANCISCO, SUITE 509",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009233003",
            "telephone_number": "787-282-3000",
            "fax_number": "787-767-2272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELENDEZ ORTIZ",
        "first_name": "ELIUT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2010-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "10154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMM",
            "identifier": "991841",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE-S",
            "identifier": "82936",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "9250091",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED MEDICARE CHOICE",
            "identifier": "2724",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCS",
            "identifier": "210154",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.