# IDELVAIS M PINERO MELENDEZ OBSTETRICS & GYNECOLOGY PSC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396206686
- **Authorized official:** IDELVAIS M PINERO MD (PRESIDENT)
- **Authorized official phone:** (939) 969-0900

## Contact information

- **Practice address:** 1051 3 SE ST LA RIVIERA, MEDICAL CENTER PLAZA 8, SAN JUAN, PR 00929
- **Practice address phone:** (939) 969-0900
- **Mailing address:** 144 CALLE TURQUESA, GUAYNABO, PR 00968-3418

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/28/2019
- **Last updated:** 03/28/2019