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Individual

JOSE ENRIQUE MELENDEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
13 VILLA ENCANTADA, CIDRA, PR 00739-9562
(787) 202-8328
Mailing address
13 VILLA ENCANTADA, CIDRA, PR 00739-9562
(787) 202-8328

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
2150267
PR

Other

Enumeration date
01/23/2019
Last updated
01/23/2019
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Product
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  • Eligibility checks
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