Active NPI
Jose Manuel Prieto, M.D.
- Obstetrics & Gynecology Physician
- San Juan, PR
National Provider Identifier
1972716884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 3051
- Practice address
- 224 Calle Viena
Urb. College Park 4
San Juan, PR 00921-4804 - Phone
- (787) 758-0898
- NPI assigned
- May 7, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 3051 | PR | Primary |
Addresses
Primary practice location
224 Calle Viena
Urb. College Park 4
San Juan, PR 00921-4804
Mailing address
224 Calle Viena
Urb. College Park 4
San Juan, PR 00921-4804
Phone (787) 758-0898
Other names 1
- Dr. Jose Manuel Prieto-Melendez
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 7, 2016 through Jan 7, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3051 | PR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453680000000",
"number": "1972716884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "224 CALLE VIENA",
"address_2": "URB. COLLEGE PARK 4",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009214804",
"telephone_number": "787-758-0898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "224 CALLE VIENA",
"address_2": "URB. COLLEGE PARK 4",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009214804",
"telephone_number": "787-758-0898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRIETO",
"first_name": "JOSE",
"middle_name": "MANUEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-07",
"last_updated": "2016-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "PR",
"license": "3051",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JOSE",
"last_name": "PRIETO-MELENDEZ",
"middle_name": "MANUEL",
"prefix": "DR.",
"code": "5",
"type": "Other Name"
}
]
}
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 Jan 25, 2016; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.