Individual
JOSE IGNACIO MELENDEZ DE MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10 CALLE CASIA, SAN JUAN, PR 00921-3200
(787) 641-7582
Mailing address
URB. CIUDAD SENORIAL D26 CALLE MAJESTAD, SAN JUAN, PR 00926
(939) 274-0499
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3447
PR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0080026219195
MMM
PR
Enumeration date
02/21/2022
Last updated
02/09/2023
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