# MELPO CSP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dr Luis H Melendez Poventun
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326037888
- **Authorized official:** DR. LUIS H MELENDEZ POVENTUN MD (PRESIDENT/OWNER)
- **Authorized official phone:** (787) 547-3933

## Contact information

- **Practice address:** 112 CALLE ARZUAGA, SUITE 605, SAN JUAN, PR 00925-3321
- **Practice address phone:** (787) 765-3164
- **Practice address fax:** (787) 763-0200
- **Mailing address:** 112 CALLE ARZUAGA, SUITE 605, SAN JUAN, PR 00925-3321
- **Mailing address phone:** (787) 765-3164
- **Mailing address fax:** (787) 763-0200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/18/2005
- **Last updated:** 12/16/2010