Healthcare Provider Details

I. General information

NPI: 1659389187
Provider Name (Legal Business Name): FRANCISCO JOSE MELENDEZ QUINONES M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/03/2006
Last Update Date: 05/04/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CENTRO CARDIOVASCULAR DE PR Y EL CARIBE SUITE # 6
SAN JUAN PR
00936
US

IV. Provider business mailing address

PO BOX 6807
BAYAMON PR
00960-5807
US

V. Phone/Fax

Practice location:
  • Phone: 787-751-4298
  • Fax: 787-775-0443
Mailing address:
  • Phone: 787-782-5189
  • Fax: 787-775-0443

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License Number10247
License Number StatePR
# 2
Primary TaxonomyN
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License Number54538
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: