Healthcare Provider Details

I. General information

NPI: 1306700216
Provider Name (Legal Business Name): CHRISTIAN MELENDEZ PSY.D
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1002 CALLE AURORA
SAN JUAN PR
00907-4533
US

IV. Provider business mailing address

1002 CALLE AURORA
SAN JUAN PR
00907-4533
US

V. Phone/Fax

Practice location:
  • Phone: 787-472-8255
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number007978
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: