Melisa Polhamus Lopez, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2791 Issued in PR

Practice address

Carr 172 KM 13.5
Ave El Jibaro
Cidra, PR 00739

Phone

(787) 739-8182

NPI assigned

Jan 22, 2008

Last updated

Jan 29, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Networks

• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Salud Integral En la Montana, Inc

  • Federally Qualified Health Center (FQHC)
  • Naranjito, PR
  • NPI 1578586244
  Medicare reassignment NPD
• Salud Integral En la Montana, Inc

  dba Centro de Salud Integral En Bayamon

  • Federally Qualified Health Center (FQHC)
  • Bayamon, PR
  • NPI 1740772102

  General Practice

  NPD
• Salud Integral En la Montana, Inc.

  dba Centro Salud Integral en Dorado

  • Clinic/Center
  • Dorado, PR
  • NPI 1760371868
  NPD

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422489600000",
    "number": "1942487905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1863",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009701863",
            "telephone_number": "787-615-1937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 172 KM 13.5",
            "address_2": "AVE EL JIBARO",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "00739",
            "telephone_number": "787-739-8182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLHAMUS LOPEZ",
        "first_name": "MELISA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-22",
        "last_updated": "2015-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "2791",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 20315",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorell Perez, MSW
• Nanitza Perez
• Norman Javier Perez, M.A.
• Ramon Perez, MD
• PMC Marketing Corp (Farmacia El Amal # 59)
• Marielis Pomales
• Psychological Empowerment LLC
• Pura Quiropractica LLC
• Edith Marie Quiles Rodriguez, ND
• Lourdes Isabel Quiles Santos, MSW,MS-PHL

• General Practice Dentistry in Cidra, PR
• Providers in Cidra, PR by specialty
• General Practice Dentistry in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.