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MELISA POLHAMUS LOPEZ DMD
NPI 1942487905
Dentist - General Practice in Cidra, PR

Active since January 22, 2008PECOS Enrolled
CARR 172 KM 13.5, AVE EL JIBARO, CIDRA, PR 00739(787) 739-8182 Get Directions Write a Review

NPPES record last updated: January 29, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Melisa Polhamus Lopez Dmd NPPES

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

MELISA POLHAMUS LOPEZ DMD (NPI 1942487905) is an individual general practice provider in Cidra, Puerto Rico, licensed in Puerto Rico (2791) and active in the NPI registry since January 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942487905
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameMELISA POLHAMUS LOPEZCredential: DMD
Location AddressCARR 172 KM 13.5, AVE EL JIBAROCidra, PR 00739
Mailing AddressPo Box 1863Guaynabo, PR 00970-1863 · (787) 615-1937
Phone(787) 739-8182
Sole ProprietorNo
Enumeration DateJanuary 22, 2008
Last NPPES UpdateJanuary 29, 2015
✔ NPI 1942487905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in PR · 2791✔ Licensed in FL · DN 20315
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
CARR 172 KM 13.5, Cidra, PR 00739
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Guardian.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Melisa Polhamus Lopez Dmd 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 Melisa Polhamus Lopez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Salud Integral En La Montana, Inc.
Radiology
CARR 167 KM 17.8, BO. PAJAROS PUERTORRIQUENOS
Bayamon, PR 00961
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 141 clinicians in this Medicare group
NPI 1306327341 (787) 869-5900

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00739 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
$88.07 typical visit price
range $56.86 – $172.44
Typical copayment $22.01 (range $14.21 – $43.11)
Most-billed visit code 99203
Established Patient
$70.88 typical visit price
range $18.24 – $140.44
Typical copayment $17.72 (range $4.56 – $35.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

ADRIANA M ROLDAN VELEZ M.D.
General Practice
CARR 172 KM 13.5, AVE EL JIBARO
CIDRA, PR 00739
Cidra Municipio (787) 739-8182

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 Melisa Polhamus Lopez's NPI number?

The NPI number for Melisa Polhamus Lopez is 1942487905. It was assigned to this individual provider in the NPPES registry on January 22, 2008.

Where is Melisa Polhamus Lopez located?

Melisa Polhamus Lopez practices at Carr 172 Km 13.5 Ave El Jibaro, Cidra, PR 00739. The listed phone number is (787) 739-8182.

What is Melisa Polhamus Lopez's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Melisa Polhamus Lopez enrolled in Medicare?

Yes. Melisa Polhamus Lopez is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Melisa Polhamus Lopez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melisa Polhamus Lopez reassigns Medicare benefits to Salud Integral En La Montana, Inc. (Bayamon, 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 Melisa Polhamus Lopez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Melisa Polhamus Lopez accept?

Health plans from Guardian list Melisa Polhamus Lopez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Melisa Polhamus Lopez was last updated on January 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.