1346573375 NPI number — DIANELYRIS MELENDEZ RONDA MA, LPC

Table of content: DIANELYRIS MELENDEZ RONDA MA, LPC (NPI 1346573375)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1346573375 NPI number — DIANELYRIS MELENDEZ RONDA MA, LPC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MELENDEZ RONDA
Provider First Name:
DIANELYRIS
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MA, LPC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
MELENDEZ
Provider Other First Name:
DIANE
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
MA, LPC
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1346573375
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/19/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1312 17TH ST # 1344
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DENVER
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80202-1508
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
720-298-9391
Provider Business Mailing Address Fax Number:
844-593-1511

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
AVE AGUAS BUENAS, URB SANTA ROSA
Provider Second Line Business Practice Location Address:
BLOQUE 10 #17 STE 2
Provider Business Practice Location Address City Name:
BAYAMON
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00957-6646
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
720-298-9391
Provider Business Practice Location Address Fax Number:
844-593-1511
Provider Enumeration Date:
09/09/2009

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X , with the licence number:  0011436 , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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