Active NPI
Kristy Melendez Otero
- Pediatrics Physician
- San Juan, PR
National Provider Identifier
1932574480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 21092
- Practice address
- Puerto Rico Centro Medico
Bo. Monacillos
San Juan, PR 00917 - Phone
- (787) 480-2700
- NPI assigned
- Dec 9, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 32145R | PR | |
| Pediatrics Physician | 208000000X | 21092 | PR | Primary |
Addresses
Primary practice location
Puerto Rico Centro Medico
Bo. Monacillos
San Juan, PR 00917
Mailing address
Puerto Rico Centro Medico
Bo. Monacillos
San Juan, PR 00917
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21092 | PR | MD | Pediatrics Physician |
| 32145R | PR | MD | Pediatrics Physician |
Interoperability endpoints
- sjckmelend@yourcarecommunity.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561939200000",
"number": "1932574480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PUERTO RICO CENTRO MEDICO",
"address_2": "BO. MONACILLOS",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PUERTO RICO CENTRO MEDICO",
"address_2": "BO. MONACILLOS",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00917",
"telephone_number": "787-480-2700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELENDEZ OTERO",
"first_name": "KRISTY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-09",
"last_updated": "2019-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PR",
"license": "32145R",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PR",
"license": "21092",
"primary": true
}
],
"identifiers": [],
"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 Jul 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.