Active NPI
Jorge Melendez- Bonilla, MD
- Gastroenterology Physician
- San Juan, PR
National Provider Identifier
1902921364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 3840
- Practice address
- 371 Calle de Diego
San Juan, PR 00923-3002 - Phone
- (787) 616-3459
- NPI assigned
- Mar 21, 2007
- 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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 3840 | PR | Primary |
Addresses
Primary practice location
371 Calle de Diego
San Juan, PR 00923-3002
Mailing address
PO Box 11636
San Juan, PR 00922-1636
Phone (787) 616-3459
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 038136301 | Medicaid | PR | |
| 95189 | Other | PR | TRIPLE S |
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 |
|---|---|---|---|---|
| I20050618000115 | PR | Practitioner - Gastroenterology | 2466496567 | Practice locations: San Juan, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- University of Puerto Rico School of Medicine, 1970
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
435 Ave Ponce de Leon
San Juan, PR 00917-3424
Phone (787) 616-3459
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 16 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 29 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Juan, PR
- NPI 1598798811
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756339200000",
"number": "1902921364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11636",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009221636",
"telephone_number": "787-616-3459",
"fax_number": "787-793-8487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "371 CALLE DE DIEGO",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009233002",
"telephone_number": "787-616-3459"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELENDEZ- BONILLA",
"first_name": "JORGE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-21",
"last_updated": "2025-08-28",
"certification_date": "2025-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "PR",
"license": "3840",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "038136301",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIPLE S",
"identifier": "95189",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
- Francisco Jose Melendez Quinones, M.D.
- Maricelia Melendez Rentas, LCDA
- Sheila Melendez Rosario, MSPHL
- Yessika Melendez Serrano
- Maria T Melendez Torres, MD
- Hector J. Melendez-Gonzalez, MD
- Luis Humerto Melendez-Morales, M.D.
- Vilma Melendez-Santana, MD,JD
- Angel Rafael Melendez
- Bianca Paola Melendez, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; 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.