MEDICARE: DR. IOWANY MELENDEZ VAZQUEZ PSY.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	103TC0700X	Clinical Psychologist	3260	PR

General Provider Information

NPI Number	:	1548631021
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. IOWANY MELENDEZ VAZQUEZ PSY.D

Provider Business Mailing Address
First Line	:	PO BOX 269
Second Line	:
City	:	LUQUILLO
State	:	PR
Zip	:	00773-0269
Country	:	US
Telephone Number	:	787-599-8338
Fax Number	:

Provider Business Practice Location Address
First Line	:	AVE. PASEO DE LOS GIGANTES VIA 21 RL9 (2DO PISO)
Second Line	:
City	:	CAROLINA
State	:	PR
Zip	:	00983
Country	:	US
Telephone Number	:	787-402-2000
Fax Number	:

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

Provider Enumeration Date	:	10/09/2015
Last Update Date	:	06/10/2026

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