NPIMap

Organization Active NPI

CDT Dr. Melendez, Inc

  • Emergency Care Clinic/Center
  • Manati, PR
National Provider Identifier
1972818318
Registry record updated Dec 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Care Clinic/CenterTaxonomy code 261QE0002X
License
44 Issued in PR
Legal business name
CDT DR. MELENDEZ, INC
Practice address
Carr 685 KM 1.9
Bo Tierras Nuevas
Manati, PR 00674
Phone
(787) 854-6999
Fax
(787) 854-6966
NPI assigned
Aug 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2016

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

Authorized official

Name
Dr. Manuel Melendez
Title
President
Phone
(787) 854-6999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Care Clinic/Center 261QE0002X 44 PR Primary

Addresses

Primary practice location

Carr 685 KM 1.9
Bo Tierras Nuevas
Manati, PR 00674

Mailing address

PO Box 1019
Manati, PR 00674-1019
Phone (787) 854-6999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120220000528 PR Part B Supplier - Clinic/Group Practice 4284892498 Receives reassigned benefits from 5 practitioners
Practice locations: Manati, PR

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
CDT Dr Melendez Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

11350 Carr 685
Manati, PR 00674

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1281398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480896000000",
    "number": "1972818318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1019",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006741019",
            "telephone_number": "787-854-6999",
            "fax_number": "787-854-6966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 685 KM 1.9",
            "address_2": "BO TIERRAS NUEVAS",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "00674",
            "telephone_number": "787-854-6999",
            "fax_number": "787-854-6966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CDT DR. MELENDEZ, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-10",
        "last_updated": "2016-12-05",
        "status": "A",
        "authorized_official_last_name": "MELENDEZ",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-854-6999",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "PR",
            "license": "44",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manati, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.