Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207U00000X | Nuclear Medicine Specialist | 14048 | PR |
NPI | 1700814084 |
---|---|
Provider Name | Jose E Melendez Maldonado |
First Address | San Juan, PR 00926-9645 |
Second Address | Caguas, PR 00725-5527 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2006 |
Last Update Date | 18/07/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H65137 | (02) | PR |