Clinica de Servicios Medicos Y Complementarios

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

4184813 Issued in PR

Legal business name

CLINICA DE SERVICIOS MEDICOS Y COMPLEMENTARIOS

Practice address

59 Font Martelo
Humacao, PR 00792

Phone

(787) 850-0211

Fax

(787) 850-0220

NPI assigned

Nov 9, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Marielly Melendez, MD

Title

Doctor

Phone

(787) 218-0245

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marielly Melendez Tirado, M.D.

  • General Practice Physician
  • Humacao, PR
  • NPI 1184646911
  Medicare reassignment NPD

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

{
    "created_epoch": "1478649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478649600000",
    "number": "1942742879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10329",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007921329",
            "telephone_number": "787-850-0211",
            "fax_number": "787-850-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 FONT MARTELO",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "00792",
            "telephone_number": "787-850-0211",
            "fax_number": "787-850-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA DE SERVICIOS MEDICOS Y COMPLEMENTARIOS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-09",
        "last_updated": "2016-11-09",
        "status": "A",
        "authorized_official_last_name": "MELENDEZ",
        "authorized_official_first_name": "MARIELLY",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "787-218-0245",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "PR",
            "license": "4184813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerry Charles Charneco, MD
• Janice Cintron Perez, DMD
• Fatima B. Cintron-Rosa, M.D.
• CJ Imaging Services, PSC
• Clinica de Oncologia Medica T Hematologica del Este
• Clinica de Terapia Fisica Humacao, Inc.
• Clinica de Terapia Tic Talk Toe LLC
• Clinica Medica Pediatrica, LLC
• Clinica Todo Salud - Aibonito, LLC
• Maria L Collazo-Santiago, PHYSICAL THERAPIST

• Primary Care Clinic/Center in Humacao, PR
• Providers in Humacao, PR by specialty
• Primary Care Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.