Individual
IVAN MELENDEZ-RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8169 CALLE CONCORDIA STE 412, COND. SAN VICENTE, PONCE, PR 00717-1567
(787) 284-5884
(787) 284-5874
Mailing address
8169 CALLE CONCORDIA STE 412, COND. SAN VICENTE, PONCE, PR 00717-1567
(787) 284-5884
(787) 284-5874
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12061
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200031
MMM
PR
Enumeration date
07/13/2006
Last updated
06/27/2010
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