Healthcare Provider Details

I. General information

NPI: 1134235096
Provider Name (Legal Business Name): MARIA T MELENDEZ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/22/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ORIENTAL GROUP BUILD ROAD #2 AND CORNER OF ROAD 167 SUITE 304
BAYAMON PR
00960-8033
US

IV. Provider business mailing address

PO BOX 8398
BAYAMON PR
00960-8033
US

V. Phone/Fax

Practice location:
  • Phone: 787-780-7331
  • Fax: 787-269-6849
Mailing address:
  • Phone: 787-780-7331
  • Fax: 787-269-6849

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number4082
License Number StatePR
# 2
Primary TaxonomyY
Taxonomy Code2080P0210X
TaxonomyPediatric Nephrology Physician
License Number4082
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: