Provider Demographics
NPI:1073039723
Name:MELENDEZ DE JESUS, FRANCIS NIRET (LND)
Entity Type:Individual
Prefix:MISS
First Name:FRANCIS
Middle Name:NIRET
Last Name:MELENDEZ DE JESUS
Suffix:
Gender:F
Credentials:LND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 285
Mailing Address - Street 2:
Mailing Address - City:JUANA DIAZ
Mailing Address - State:PR
Mailing Address - Zip Code:00795-0285
Mailing Address - Country:US
Mailing Address - Phone:787-381-4127
Mailing Address - Fax:
Practice Address - Street 1:17 CALLE ALONDRA
Practice Address - Street 2:QUINTAS DE RIO CANAS ABAJO
Practice Address - City:JUANA DIAZ
Practice Address - State:PR
Practice Address - Zip Code:00795
Practice Address - Country:US
Practice Address - Phone:787-381-4127
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-15
Last Update Date:2019-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2032133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered