Individual
DR. MELISSA M WHEELER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
17 CALLE SAN JOSE APT 503, FOUNTAINBLUE VILLAGE, GUAYNABO, PR 00969-4734
(787) 447-6646
Mailing address
PO BOX 71325, SUITE 99, SAN JUAN, PR 00936-8425
(787) 447-6646
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16373
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4041109
DRIVERS LICENCE
PR
Enumeration date
03/08/2007
Last updated
07/08/2007
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