Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 4082 | PR |
N | 2080P0210X | Pediatric Nephrologist | 4082 | PR |
NPI | 1134235096 |
---|---|
Provider Name | Mrs. Maria T Melendez |
First Address | Bayamon, PR 00960-8033 |
Second Address | Bayamon, PR 00960-8033 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/08/2006 |
Last Update Date | 08/07/2007 |