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NPI Code Detail

MEDICARE: MRS. SYLVIA M MELENDEZ SOCIAL WORKER

MEDICARE: MRS. SYLVIA M MELENDEZ SOCIAL WORKER
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
11041C0700XClinical Social Worker2560PR

General Provider Information

NPI Number : 1396993887
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SYLVIA M MELENDEZ SOCIAL WORKER
Provider Business Mailing Address
First Line : 1300 CALLE ATENAS APT 504
Second Line : MONTE ATENAS
City : SAN JUAN
State : PR
Zip : 00926-7811
Country : US
Telephone Number : 787-283-7601
Fax Number : 787-740-4175
Provider Business Practice Location Address
First Line : 1300 CALLE ATENAS APT 504
Second Line : MONTE ATENAS
City : SAN JUAN
State : PR
Zip : 00926-7811
Country : US
Telephone Number : 787-283-7601
Fax Number : 787-740-4175
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/09/2008
Last Update Date : 09/09/2008

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Directions to “ MRS. SYLVIA M MELENDEZ SOCIAL WORKER” Practice Location

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