# MELENDEZ GASTROENTEROLOGY INSTITUTE, LLC

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

## Provider details

- **NPI number:** 1588040281
- **Authorized official:** DR. JORGE DAVID MELENDEZ HERNANDEZ M.D. (PRESIDENT)
- **Authorized official phone:** (787) 308-6859

## Contact information

- **Practice address:** 4246 CARRETERA 2 KM 43, VEGA BAJA, PR 00693-4128
- **Practice address phone:** (787) 884-7218
- **Mailing address:** 4246 CARRETERA 2 KM 43, VEGA BAJA, PR 00693-4128
- **Mailing address phone:** (787) 884-7218

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | 16955 | PR | Yes |
| 261QE0800X | Endoscopy Clinic/Center | 16955 | PR | — |

## Other

- **Enumeration date:** 08/04/2015
- **Last updated:** 08/04/2015