Organization
LABORATORIO CLINICO PROFESIONAL MELENDEZ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANUEL E MELENDEZ VELAZQUEZ (DUENO)
(787) 285-1680
Entity
Organization
Contact information
Practice address
358 CALLE FONT MARTELO, ROSADO MEDICAL BUILDING SUITE 201, HUMACAO, PR 00791-3222
(787) 285-1680
Mailing address
PO BOX 8532, HUMACAO, PR 00792-8532
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
052204
LA CRUZ AZUL DE PR
PR
01
—
20342
PREFERRED MEDICARE CHOICE
PR
01
—
7910070
HUMANA HEALTH PLAN OF PR
PR
01
—
800317
MEDICARE Y MUCHO MAS
PR
01
—
9084
FIRST MEDICAL
PR
Enumeration date
03/01/2007
Last updated
08/22/2020
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