Provider Demographics
NPI:1023567773
Name:MELENDEZ, ZULMA MARIA (PHARMACYST)
Entity Type:Individual
Prefix:
First Name:ZULMA
Middle Name:MARIA
Last Name:MELENDEZ
Suffix:
Gender:F
Credentials:PHARMACYST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CARRETERRA 3 KM 17.8
Mailing Address - Street 2:WALMART PLAZA CANOVANAS
Mailing Address - City:CANOVANAS
Mailing Address - State:PR
Mailing Address - Zip Code:00729-0000
Mailing Address - Country:US
Mailing Address - Phone:787-957-2715
Mailing Address - Fax:787-523-0015
Practice Address - Street 1:CARRETERA 3 KM 17.8
Practice Address - Street 2:WALMART PLAZA CANOVANAS
Practice Address - City:CANOVANAS
Practice Address - State:PR
Practice Address - Zip Code:00729-0000
Practice Address - Country:US
Practice Address - Phone:787-957-2715
Practice Address - Fax:787-523-0015
Is Sole Proprietor?:No
Enumeration Date:2016-09-22
Last Update Date:2016-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2952183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist