Individual
JORGE MELENDEZ- BONILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
371 CALLE DE DIEGO, SAN JUAN, PR 00923-3002
(787) 616-3459
Mailing address
PO BOX 11636, SAN JUAN, PR 00922-1636
(787) 616-3459
(787) 793-8487
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
3840
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038136301
—
PR
01
—
95189
TRIPLE S
PR
Enumeration date
03/21/2007
Last updated
08/28/2025
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