Individual
DR. LUIS ANTONIO MELENDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
41 CALLE SAN JOSE W, GUAYAMA, PR 00784-5322
(787) 864-5528
Mailing address
41 W SAN JOSE ST, GUAYAMA, PR 00784-5322
(787) 864-5528
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
17387
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17387
PUERTO RICO MEDICAL LICENSE
PR
Enumeration date
11/04/2008
Last updated
11/04/2008
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