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Individual
MR. JUAN A MELENDEZ
Active
Individual
MR. JUAN A MELENDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.T.
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
1221
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1221
RADIOLOGIC TECHNOLOGY
PR
Enumeration date
05/02/2007
Last updated
07/08/2007
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