Individual
CARLOS ANIBAL MELENDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
011583
PR
208000000X
Pediatrics Physician
Primary
J7090
TX
208000000X
Pediatrics Physician
MD-052944-L
PA
208000000X
Pediatrics Physician
ME 74872
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011583
PR MEDICAL LICENCE
PR
05
—
123913904
—
TX
05
—
123913905
—
TX
01
—
MD-052944-L
PA MEDICAL LICENCE
PA
01
—
ME 74872
FL MEDICAL LICENCE
FL
Enumeration date
08/10/2005
Last updated
11/09/2015
Update your record
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