MEDICARE: DR. ROBERT FELICIANO MELENDEZ DMD

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	1223G0001X	General Practice Dentistry	3217	PR

General Provider Information

NPI Number	:	1952758815
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT FELICIANO MELENDEZ DMD

Provider Business Mailing Address
First Line	:	2027 CALLE ZAFIRO
Second Line	:	LAGO HORIZONTE
City	:	COTO LAUREL
State	:	PR
Zip	:	00780-2417
Country	:	US
Telephone Number	:	787-614-4543
Fax Number	:

Provider Business Practice Location Address
First Line	:	2027 CALLE ZAFIRO
Second Line	:
City	:	COTO LAUREL
State	:	PR
Zip	:	00780-2417
Country	:	US
Telephone Number	:	787-614-4543
Fax Number	:

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

Provider Enumeration Date	:	05/20/2016
Last Update Date	:	09/25/2024

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