1811797418 NPI number — DR HECTOR J MELENDEZ GONZALEZ ESPECIALISTA EN INFECTOLOGIA LLC

Table of content: (NPI 1811797418)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1811797418 NPI number — DR HECTOR J MELENDEZ GONZALEZ ESPECIALISTA EN INFECTOLOGIA LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DR HECTOR J MELENDEZ GONZALEZ ESPECIALISTA EN INFECTOLOGIA LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
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Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
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NPI Number Information

NPI Number:
1811797418
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/14/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1509 AVE PONCE DE LEON APT 1434
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAN JUAN
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00909-2014
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-936-2966
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
LAS VISTAS SHOOPING VILLAGE
Provider Second Line Business Practice Location Address:
SUITE1
Provider Business Practice Location Address City Name:
SAN JUAN
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00926
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-936-2966
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/14/2025

Additional Information

Authorized Official

Authorized Official Last Name:
MELENDEZ-GONZALEZ
Authorized Official First Name:
HECTOR
Authorized Official Middle Name:
J
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
787-936-2966

Provider Taxonomy Codes

  • Taxonomy code: 261QM2500X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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