Individual provider Active NPI

Melissa Enid De Jesus Cabrera, MD

  • General Practice Physician
  • Bayamon, PR
National Provider Identifier
1922869270
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
23603 Issued in PR
Practice address
Calle 34 Y4 Urb Francisco Oller
Bayamon, PR 00956
Phone
(787) 692-7842
NPI assigned
Jan 23, 2024
Sex
Female
Sole proprietor
Yes

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 23603 PR Primary

Addresses

Primary practice location

Calle 34 Y4 Urb Francisco Oller
Bayamon, PR 00956

Mailing address

PO Box 2285
Bayamon, PR 00960-2285
Phone (787) 692-7842

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
I20240408000332 PR Practitioner - General Practice 1153769302 Reassigns benefits to 1 organization
Practice locations: San Juan, PR

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Departamento de Salud Oficial Current Accepting new patients
Departamento de Salud Oficial CurrentSince Oct 18, 2024 Accepting new patients
Departamento de Salud Oficial CurrentSince Oct 18, 2024 Accepting new patients

Organizations & group practices 3

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": "1705968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1922869270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2285",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009602285",
            "telephone_number": "787-692-7842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE 34 Y4 URB FRANCISCO OLLER",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00956",
            "telephone_number": "787-692-7842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE JESUS CABRERA",
        "first_name": "MELISSA",
        "middle_name": "ENID",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-23",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "23603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.