=====================================================
General NPI Number Information
=====================================================
NPI Number | 1164361762
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | JUDIMEL MEDICAL CORP
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/27/2026
-----------------------------------------------------
Last Update Date | 03/27/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | URB SANTA RITA CALLE ALFONSO RAMIREZ SOLAR 1
-----------------------------------------------------
City | VEGA ALTA
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00692-0721
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 939-310-1208
-----------------------------------------------------
Fax | 787-651-3343
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 721
-----------------------------------------------------
City | VEGA ALTA
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00692-0721
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 939-310-1208
-----------------------------------------------------
Fax | 787-651-3343
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | RICARDO L MELENDEZ- MONTERO
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 787-233-1703
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 341600000X
-----------------------------------------------------
Taxonomy Name | Ambulance
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 3416L0300X
-----------------------------------------------------
Taxonomy Name | Land Ambulance
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------