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NPI Code Detail

MEDICARE: DR. ORLANDO LUIS MELECIO DE JESUS PHARM.D.

MEDICARE: DR. ORLANDO LUIS MELECIO DE JESUS PHARM.D.
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
11835P2201XAmbulatory Care Pharmacist008155PR

General Provider Information

NPI Number : 1174240931
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ORLANDO LUIS MELECIO DE JESUS PHARM.D.
Provider Business Mailing Address
First Line : 374 AVE PONCE DE LEON
Second Line :
City : SAN JUAN
State : PR
Zip : 00918-2024
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : C1 CALLE PARKSIDE 4
Second Line :
City : GUAYNABO
State : PR
Zip : 00968-3305
Country : US
Telephone Number : 787-792-0780
Fax Number : 787-782-8163
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2022
Last Update Date : 12/15/2023

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