Healthcare Provider Details

I. General information

NPI: 1598076572
Provider Name (Legal Business Name): BARBARA MELENDEZ M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2010
Last Update Date: 07/01/2022
Certification Date: 06/30/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4105 E FLORIDA AVE STE 200
DENVER CO
80222-3641
US

IV. Provider business mailing address

4105 E FLORIDA AVE STE 200
DENVER CO
80222-3641
US

V. Phone/Fax

Practice location:
  • Phone: 303-539-0736
  • Fax: 303-539-0737
Mailing address:
  • Phone: 303-539-0736
  • Fax: 303-539-0737

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License NumberDR0059013
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: