MEDICARE: DR. SAMUEL MELENDEZ DEL VALLE M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2300X	Primary Care Clinic/Center	10288	PR

General Provider Information

NPI Number	:	1396719548
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SAMUEL MELENDEZ DEL VALLE M.D.

Provider Business Mailing Address
First Line	:	PO BOX 250
Second Line	:
City	:	MAYAGUEZ
State	:	PR
Zip	:	00681-0250
Country	:	US
Telephone Number	:	787-831-3845
Fax Number	:

Provider Business Practice Location Address
First Line	:	CARR 2
Second Line	:	AVE. HOSTOS 770 SUITE 205
City	:	MAYAGUEZ
State	:	PR
Zip	:	00682-6353
Country	:	US
Telephone Number	:	787-831-3845
Fax Number	:	787-831-3845

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/15/2006
Last Update Date	:	05/05/2025

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