1932372836 NPI number — MRS. DELIA MARIA MELENDEZ FALCON TERAPIA OCUPACIONAL

Table of content: MRS. DELIA MARIA MELENDEZ FALCON TERAPIA OCUPACIONAL (NPI 1932372836)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932372836 NPI number — MRS. DELIA MARIA MELENDEZ FALCON TERAPIA OCUPACIONAL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MELENDEZ FALCON
Provider First Name:
DELIA
Provider Middle Name:
MARIA
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
TERAPIA OCUPACIONAL
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1932372836
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/11/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
AVE JOSE DE DIEGO #395 CARR #14
Provider Second Line Business Mailing Address:
CENTRO DE DESARROLLO HABILITATIVO DE CAYEY
Provider Business Mailing Address City Name:
CAYEY
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00736
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-263-6392
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
AVE JOSE DE DIEGO #395 CARR #14
Provider Second Line Business Practice Location Address:
CENTRO DE DESARROLLO HABILITATIVO DE CAYEY
Provider Business Practice Location Address City Name:
CAYEY
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00736
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-263-6392
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/11/2008

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: 225X00000X , with the licence number:  87J OT/L , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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