Healthcare Provider Details

I. General information

NPI: 1326180092
Provider Name (Legal Business Name): NANCY R SEDA MELENDEZ M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: NANCY R SEDA MELENDEZ M.D.

II. Dates (important events)

Enumeration Date: 02/12/2007
Last Update Date: 10/10/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BO MONTALVA 23 ENSENADA MIGRANT HEALTH CENTER, INC
GUANICA PR
00647
US

IV. Provider business mailing address

PO BOX 7128 MIGRANT HEALTH CENTER, INC
MAYAGUEZ PR
00681-7128
US

V. Phone/Fax

Practice location:
  • Phone: 787-821-3377
  • Fax: 787-821-5328
Mailing address:
  • Phone: 787-805-2900
  • Fax: 787-834-1924

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number8788
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: