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MR. MELVIN MELENDEZ M.D.
NPI 1164531059
Internal Medicine - Gastroenterology in San Juan, PR

Active since August 30, 2006PECOS EnrolledCLIA 40D0926169 · Waiver
TORRE DEL METROPOLITANO 1789 SUITE 209, CARR 21 LAS LOMAS, SAN JUAN, PR 00921(787) 793-2462(787) 774-1615 Get Directions Write a Review

NPPES record last updated: July 6, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mr. Melvin Melendez M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MELVIN MELENDEZ M.D. (NPI 1164531059) is an individual gastroenterology provider in San Juan, Puerto Rico, licensed in Puerto Rico (11617) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through March 16, 2027, and is a graduate of University Of Puerto Rico School Of Medicine (1988).

NPPES Registry Identity

NPI1164531059
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameMR. MELVIN MELENDEZCredential: M.D.
Location AddressTORRE DEL METROPOLITANO 1789 SUITE 209, CARR 21 LAS LOMASSan Juan, PR 00921
Mailing AddressPmb 223 Sc1353 Rd 19Guaynabo, PR 00966 · (787) 793-2462 · Fax (787) 774-1615
Phone(787) 793-2462
Fax(787) 774-1615
Sole ProprietorYes
Medical School CMSUniversity Of Puerto Rico School Of MedicineGraduated 1988
Enumeration DateAugust 30, 2006
Last NPPES UpdateJuly 6, 2020
NPPES CertifiedJuly 6, 2020
✔ NPI 1164531059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in PR · 11617
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Other Identifiers 4

Other064521PR · Cruz Azul
Other2514PR · Interntional Medical Car
Other601120PR · Medicare Y Mucho Mas
Other84448MEPR · Triple S

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Melvin Melendez M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID143270108
PECOS Enrollment IDI20050127000185
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Melvin Melendez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Gastro Centro Pcs
Endoscopy
TORRE DEL METROPOLITANO 1789 SUITE 209 CARR. 21
San Juan, PR 00921
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 3 clinicians in this Medicare group
NPI 1740624329 (787) 793-2462
Gastro-Centro Norte Psc
Endoscopy
CARR #10 KM 85.7 EDIF D SUITE 5 BO. TANAMA
Arecibo, PR 00613
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 3 clinicians in this Medicare group
NPI 1619394038 (787) 878-7564

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 40D0926169

Melvin Melendez MD · Rio Piedras, PR
Active · expires Mar 16, 2027
CLIA Number40D0926169
Laboratory TypePhysician Office
Certificate Effective DateMarch 17, 2025
Certificate Expiration DateMarch 16, 2027
Laboratory DirectorMelvin Melendez MD
Laboratory Phone(787) 793-2462
Laboratory LocationMelvin Melendez MDHospital Metropolitano Suite 200 Carr 21, Rio Piedras, PR 00921
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
25 services13 patients
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito G0500
Moderate sedation is a method where a physician uses medication to help you relax during a gastrointestinal endoscopy. An independent trained observer will be present to monitor your vital signs and ensure your safety throughout the procedure. It's a common and safe practice.
15 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00921 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.65 typical visit price
range $56.86 – $172.44
Typical copayment $32.66 (range $14.21 – $43.11)
Most-billed visit code 99204
Established Patient
$100.24 typical visit price
range $18.24 – $140.44
Typical copayment $25.06 (range $4.56 – $35.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Melvin Melendez's NPI number?

The NPI number for Melvin Melendez is 1164531059. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Melvin Melendez located?

Melvin Melendez practices at Torre Del Metropolitano 1789 Suite 209 Carr 21 Las Lomas, San Juan, PR 00921. The listed phone number is (787) 793-2462.

What is Melvin Melendez's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Melvin Melendez enrolled in Medicare?

Yes. Melvin Melendez is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Melvin Melendez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melvin Melendez reassigns Medicare benefits to 2 organizations: Gastro Centro Pcs (San Juan, PR) and Gastro-Centro Norte Psc (Arecibo, PR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Melvin Melendez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Does Melvin Melendez hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 40D0926169) is associated with this NPI, valid through March 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Melvin Melendez was last updated on July 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.