Healthcare Provider Details

I. General information

NPI: 1548306137
Provider Name (Legal Business Name): LYDIA YVONNE MELENDEZ RAMIREZ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/30/2007
Last Update Date: 01/14/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 POYDRAS ST AMBULATORY DEPT 3RD FLOOR
NEW ORLEANS LA
70112-5100
US

IV. Provider business mailing address

1400 POYDRAS ST AMBULATORY DEPT 3RD FLOOR
NEW ORLEANS LA
70112-5100
US

V. Phone/Fax

Practice location:
  • Phone: 504-903-5155
  • Fax: 504-903-5157
Mailing address:
  • Phone: 504-903-5155
  • Fax: 504-903-5157

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number019748
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: