Individual
IARA DEL MAR MELENDEZ BERRIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4060 FAIRMOUNT AVE, SAN DIEGO, CA 92105-1608
(619) 280-4213
Mailing address
4060 FAIRMOUNT AVE, SAN DIEGO, CA 92105-1608
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A114181
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A114181
LIC
CA
Enumeration date
09/30/2009
Last updated
08/04/2025
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