Active NPI
Eliut Melendez Ortiz, MD
- Internal Medicine Physician
- San Juan, PR
National Provider Identifier
1891761896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 10154
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 991841 | Other | PR | MMM |
| 82936 | Other | PR | TRIPLE-S |
| 9250091 | Other | PR | HUMANA |
| 2724 | Other | PR | PREFERRED MEDICARE CHOICE |
| 210154 | Other | PR | MCS |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110110000754 | PR | Practitioner - Internal Medicine | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2010; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.