MEDICARE: FRANCISCO JAVIER MELENDEZ PHYSICAL THERAPIST

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	1227536	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1114266103
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANCISCO JAVIER MELENDEZ PHYSICAL THERAPIST

Provider Business Mailing Address
First Line	:	2280 TRAWOOD DR
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79935-3020
Country	:	US
Telephone Number	:	915-595-3535
Fax Number	:	915-595-3922

Provider Business Practice Location Address
First Line	:	4242 HONDO PASS DR
Second Line	:	STE, 110
City	:	EL PASO
State	:	TX
Zip	:	79904-1205
Country	:	US
Telephone Number	:	915-751-0599
Fax Number	:	915-751-0559

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/11/2013
Last Update Date	:	10/23/2014

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