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NPI Code Detail

MEDICARE: SERGIO C. MELENDEZ FNP

MEDICARE: SERGIO C. MELENDEZ FNP
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
1363LF0000XFamily Nurse PractitionerAP132732TX

General Provider Information

NPI Number : 1942346705
Entity Type Code : Individual
Provider Name (Legal Business Name) : SERGIO C. MELENDEZ FNP
Provider Business Mailing Address
First Line : 2619 N PIEDRAS ST
Second Line :
City : EL PASO
State : TX
Zip : 79930-3505
Country : US
Telephone Number : 915-233-1900
Fax Number : 915-440-1956
Provider Business Practice Location Address
First Line : 2619 N PIEDRAS ST
Second Line :
City : EL PASO
State : TX
Zip : 79930-3505
Country : US
Telephone Number : 915-233-1900
Fax Number : 915-440-1956
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2007
Last Update Date : 11/21/2025

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