Healthcare Provider Details

I. General information

NPI: 1548549355
Provider Name (Legal Business Name): ROLANDO NELSON ALVARADO-MELENDEZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/10/2011
Last Update Date: 09/30/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80100 CALLE LUIS M RIVERA EDIF JESUS T PINERO DOCTORS CENTER HOSPITAL
CAROLINA PR
00985
US

IV. Provider business mailing address

URB VISTAMAR CALLE 6 C14
GUAYAMA PR
00784
US

V. Phone/Fax

Practice location:
  • Phone: 787-626-3322
  • Fax:
Mailing address:
  • Phone: 787-349-1884
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number19311
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: