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Individual

DR. JUAN GABRIEL MELENDEZ RIVERA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3401 N BROAD ST # A, PHILADELPHIA, PA 19140-5103
(215) 707-4600
(215) 707-5599
Mailing address
3500 N BROAD ST RM 1A, PHILADELPHIA, PA 19140-4106
(215) 926-9019

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA11685800
NJ
207R00000X
Internal Medicine Physician
Primary
MD484626
PA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
24403
PR

Other

Enumeration date
08/09/2018
Last updated
09/25/2025
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