Healthcare Provider Details

I. General information

NPI: 1326902867
Provider Name (Legal Business Name): LEUNAM MELENDEZ N.L.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/10/2025
Last Update Date: 12/10/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 CALLE CASIA, SAN JUAN, PR 00921-3201
SAN JUAN PR
00921
US

IV. Provider business mailing address

593 AVE. HOSTOS, SAN JUAN, P.R.
SAN JUAN PR
00918
US

V. Phone/Fax

Practice location:
  • Phone: 787-392-5210
  • Fax:
Mailing address:
  • Phone: 787-392-5210
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code226300000X
TaxonomyKinesiotherapist
License Number235
License Number StatePR
# 2
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number235
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: