Individual provider Active NPI

Tania Maria Melendez Gomez, MD

  • General Practice Physician
  • San Juan, PR
National Provider Identifier
1942953260
Registry record updated Jan 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
23779 Issued in PR
Practice address
650 Calle Ceciliana Apt 801
San Juan, PR 00926-7469
Phone
(787) 326-8225
NPI assigned
Jan 27, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2026

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 23779 PR Primary

Addresses

Primary practice location

650 Calle Ceciliana Apt 801
San Juan, PR 00926-7469

Mailing address

6471 Ave Isla Verde Apt 501
Carolina, PR 00979-7117
Phone (787) 326-8225

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
I20260303003483 PR Practitioner - General Practice 7911489588 Practice locations: Canovanas, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

32 Calle Ceramica
Las Piedras, PR 00771

58 Calle Manuel Corchado Juarbe
Canovanas, PR 00729
Phone (787) 256-2015

Cond New San Juan 6471 Ave Isla Verd
Carolina, PR 00979-7117

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23779PRMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1643241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768003200000",
    "number": "1942953260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6471 AVE ISLA VERDE APT 501",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009797117",
            "telephone_number": "787-326-8225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 CALLE CECILIANA APT 801",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009267469",
            "telephone_number": "787-326-8225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELENDEZ GOMEZ",
        "first_name": "TANIA",
        "middle_name": "MARIA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-27",
        "last_updated": "2026-01-10",
        "certification_date": "2026-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "23779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.