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DR. MARIELLY MELENDEZ TIRADO M.D.
NPI 1184646911
General Practice in Humacao, PR

Active since July 24, 2006PECOS Enrolled
59 AVE FONT MARTELO W, HUMACAO, PR 00791(787) 850-0211(787) 850-0220 Get Directions Write a Review

NPPES record last updated: October 6, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 6, 2022, Jun 16, 2021, Dec 10, 2020 (3 updates tracked since 2020).

About Dr. Marielly Melendez Tirado M.d. NPPES

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

DR. MARIELLY MELENDEZ TIRADO M.D. (NPI 1184646911) is an individual general practice provider in Humacao, Puerto Rico, licensed in Puerto Rico (16254) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Humacao.

NPPES Registry Identity

NPI1184646911
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameDR. MARIELLY MELENDEZ TIRADOCredential: M.D.
Location Address59 AVE FONT MARTELO WHumacao, PR 00791-3615
Mailing AddressPo Box 10329Humacao, PR 00792-1329 · (939) 439-5566 · Fax (787) 850-0220
Phone(787) 850-0211
Fax(787) 850-0220
Sole ProprietorYes
Enumeration DateJuly 24, 2006
Last NPPES UpdateOctober 6, 20223 updates tracked since enumeration
NPPES CertifiedOctober 6, 2022
✔ NPI 1184646911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in PR · 16254
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Secondary Practice Location 1

Location 1111 Calle Dufresne WHumacao, PR 00791-3601 · Phone (787) 850-0211 · Fax (787) 850-0211

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Marielly Melendez Tirado M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Marielly Melendez Tirado reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinica De Servicios Medicos Y Complementarios
Primary Care
59 FONT MARTELO
Humacao, PR 00792
  • Reassigned Medicare billing, Puerto Rico enrollment
NPI 1942742879 (787) 850-0211

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

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 Marielly Melendez Tirado's NPI number?

The NPI number for Marielly Melendez Tirado is 1184646911. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Where is Marielly Melendez Tirado located?

Marielly Melendez Tirado practices at 59 Ave Font Martelo W, Humacao, PR 00791. The listed phone number is (787) 850-0211.

What is Marielly Melendez Tirado's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Marielly Melendez Tirado enrolled in Medicare?

Yes. Marielly Melendez Tirado is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Marielly Melendez Tirado's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marielly Melendez Tirado reassigns Medicare benefits to Clinica De Servicios Medicos Y Complementarios (Humacao, PR). The 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 Marielly Melendez Tirado's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Marielly Melendez Tirado was last updated on October 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.