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NPI Code Detail

MEDICARE: DR. LINDA MARIS MELENDEZ-TORRES M.D.

MEDICARE: DR. LINDA MARIS MELENDEZ-TORRES M.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
1207Q00000XFamily Medicine PhysicianACN495FL
2208D00000XGeneral Practice PhysicianACN495FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1316933708
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LINDA MARIS MELENDEZ-TORRES M.D.
Provider Business Mailing Address
First Line : 121 S ORANGE AVE STE 940
Second Line :
City : ORLANDO
State : FL
Zip : 32801-3234
Country : US
Telephone Number : 321-332-6947
Fax Number : 72-864-5154
Provider Business Practice Location Address
First Line : 810 N NOWELL ST
Second Line :
City : ORLANDO
State : FL
Zip : 32808-7539
Country : US
Telephone Number : 407-290-9556
Fax Number : 407-290-9509
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2005
Last Update Date : 01/05/2021

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