Individual
MR. MELVIN MELENDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
11617
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
064521
CRUZ AZUL
PR
01
—
2514
INTERNTIONAL MEDICAL CAR
PR
01
—
601120
MEDICARE Y MUCHO MAS
PR
01
—
84448ME
TRIPLE S
PR
Enumeration date
08/30/2006
Last updated
07/06/2020
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