Healthcare Provider Details

I. General information

NPI: 1346573375
Provider Name (Legal Business Name): DIANELYRIS MELENDEZ RONDA MA, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DIANE MELENDEZ MA, LPC

II. Dates (important events)

Enumeration Date: 09/09/2009
Last Update Date: 11/19/2025
Certification Date: 11/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

AVE AGUAS BUENAS, URB SANTA ROSA BLOQUE 10 #17 STE 2
BAYAMON PR
00957-6646
US

IV. Provider business mailing address

1312 17TH ST # 1344
DENVER CO
80202-1508
US

V. Phone/Fax

Practice location:
  • Phone: 720-298-9391
  • Fax: 844-593-1511
Mailing address:
  • Phone: 720-298-9391
  • Fax: 844-593-1511

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0011436
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: