Healthcare Provider Details

I. General information

NPI: 1841155074
Provider Name (Legal Business Name): ROCHELIZ TAPIA MELENDEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/19/2025
Last Update Date: 12/19/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR. #2 KM 40.9 BO. ALGARROBO
VEGA BAJA PR
00693-0000
US

IV. Provider business mailing address

PO BOX 1084
MANATI PR
00674-1084
US

V. Phone/Fax

Practice location:
  • Phone: 787-231-3141
  • Fax: 787-716-7890
Mailing address:
  • Phone: 787-231-3141
  • Fax: 787-716-7890

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number1930
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: