Provider Demographics
NPI:1073711479
Name:MALDONADO-MELENDEZ, JUAN CARLOS (MD)
Entity Type:Individual
Prefix:DR
First Name:JUAN
Middle Name:CARLOS
Last Name:MALDONADO-MELENDEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:512 CAMINO DE RIO ABAJO
Mailing Address - Street 2:
Mailing Address - City:DORADO
Mailing Address - State:PR
Mailing Address - Zip Code:00646-3644
Mailing Address - Country:US
Mailing Address - Phone:787-880-7200
Mailing Address - Fax:787-881-6072
Practice Address - Street 1:49B CALLE MORELL CAMPOS
Practice Address - Street 2:
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612-4318
Practice Address - Country:US
Practice Address - Phone:787-878-2758
Practice Address - Fax:787-817-3531
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-06
Last Update Date:2017-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR17209207W00000X
GA62251207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology