JOSE EMANUEL MELENDEZ GONZALEZ MD
NPI 1336766302
Student in an Organized Health Care Education/Training Program in Miami, FL

Q: What is Jose Melendez Gonzalez's NPI number?

The NPI number for Jose Melendez Gonzalez is 1336766302. It was assigned to this individual provider in the NPPES registry on June 25, 2020.

Q: What is Jose Melendez Gonzalez's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since June 25, 2020PECOS Enrolled

11750 SW 40TH ST, MIAMI, FL 33175(305) 223-3000 Get Directions Write a Review

NPPES record last updated: March 19, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 19, 2023, Jul 6, 2020, Jun 25, 2020 (3 updates tracked since 2020).

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About Jose Emanuel Melendez Gonzalez Md NPPES

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

JOSE EMANUEL MELENDEZ GONZALEZ MD (NPI 1336766302) is an individual student in an organized health care education/training program in Miami, Florida, licensed in Puerto Rico (15456-I) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS and maintains a secondary practice location in Aguadilla.

NPPES Registry Identity

NPI1336766302

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameJOSE EMANUEL MELENDEZ GONZALEZCredential: MD

Location Address11750 SW 40TH STMiami, FL 33175-3530

Mailing AddressUrb Medina Calle 5, Casa D-40Isabela, PR 00662-3833 · (787) 454-9128

Phone(305) 223-3000

Sole ProprietorYes

Enumeration DateJune 25, 2020

Last NPPES UpdateMarch 19, 20233 updates tracked since enumeration

NPPES CertifiedMarch 19, 2023

✔ NPI 1336766302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in PR · 15456-I

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

11750 SW 40TH ST, Miami, FL 33175

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Secondary Practice Location 1

Location 1Avenida Severiano Cuevas, #18 Km. 141.1 Bo. Caimital BajoAguadilla, PR 00603 · Phone (787) 658-0000 ext. 1019 · Fax (787) 819-0805

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jose Emanuel Melendez Gonzalez Md 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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JACKLYN REYES PANCRUDO D.O.

Internal Medicine (Critical Care Medicine)