Provider Demographics
NPI:1033494554
Name:YELITZA MELERO ROSA
Entity Type:Organization
Organization Name:YELITZA MELERO ROSA
Other - Org Name:ULTRASONIDO MOVIL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PROPIETOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:YELITZA
Authorized Official - Middle Name:MELERO
Authorized Official - Last Name:ROSA
Authorized Official - Suffix:SR
Authorized Official - Credentials:TR
Authorized Official - Phone:787-650-4899
Mailing Address - Street 1:PO BOX 2384
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00613-2384
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1 CALLE A # 26
Practice Address - Street 2:CARR 129
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612-9413
Practice Address - Country:US
Practice Address - Phone:787-650-4788
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-15
Last Update Date:2012-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2607261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service