Individual provider Active NPI

William Grassette Melendez, MD

  • General Practice Physician
  • Toa Baja, PR
National Provider Identifier
1972515856
Registry record updated Apr 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
10816 Issued in PR
Practice address
3474 Paseo Camaron
3Ra Seccion Levittown
Toa Baja, PR 00949-3634
Phone
(787) 795-2521
Fax
(787) 795-2289
NPI assigned
Aug 12, 2006
Last updated
Apr 11, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2018

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 10816 PR Primary

Addresses

Primary practice location

3474 Paseo Camaron
3Ra Seccion Levittown
Toa Baja, PR 00949-3634

Mailing address

229 Calle del Parque
Cond. Parque Central Apt. 904
San Juan, PR 00912-3223
Phone (787) 795-2935

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
I20071011000477 PR Practitioner - General Practice 6204922974 Reassigns benefits to 1 organization
Practice locations: Toa Baja, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1986
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3474 Calle Camaron
Toa Baja, PR 00949

HF 16 Lizzie Graham
7Ma Seccion Levittown
Toa Baja, PR 00949

Paseo Camaron
3474 Tercera Seccion Levittown
Toa Baja, PR 00949
Phone (787) 795-2521

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
CSM Servicios de Cuidado Inc. CurrentSince Apr 9, 2019 Accepting new patients
CRM Group Practice Past Accepting new patients

Locations

HF16 Calle Lizzie Graham
Toa Baja, PR 00949
Phone (787) 309-6283

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523404800000",
    "number": "1972515856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 CALLE DEL PARQUE",
            "address_2": "COND. PARQUE CENTRAL APT. 904",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009123223",
            "telephone_number": "787-795-2935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3474 PASEO CAMARON",
            "address_2": "3RA SECCION LEVITTOWN",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009493634",
            "telephone_number": "787-795-2521",
            "fax_number": "787-795-2289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRASSETTE MELENDEZ",
        "first_name": "WILLIAM",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2018-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "10816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toa Baja, PR

Sources for this page

Verify at the official NPI Registry.