MEDICARE: JOSUE MELENDEZ ALMODOVAR MSW

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	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1316768906
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSUE MELENDEZ ALMODOVAR MSW

Provider Business Mailing Address
First Line	:	PO BOX 515
Second Line	:
City	:	NARANJITO
State	:	PR
Zip	:	00719-0515
Country	:	US
Telephone Number	:	787-869-5900
Fax Number	:

Provider Business Practice Location Address
First Line	:	CARR. 697 EDIF. VISTA PLAZA, LOTES 106-205 CALLE C
Second Line	:
City	:	DORADO
State	:	PR
Zip	:	00646
Country	:	US
Telephone Number	:	787-869-5900
Fax Number	:

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

Provider Enumeration Date	:	10/17/2024
Last Update Date	:	12/01/2025

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