Provider Demographics
NPI:1083342851
Name:MELENDEZ, ABIGAIL (MSW)
Entity Type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:
Last Name:MELENDEZ
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC03 BOX 16084
Mailing Address - Street 2:
Mailing Address - City:AGUAS BUENAS
Mailing Address - State:PR
Mailing Address - Zip Code:00703
Mailing Address - Country:US
Mailing Address - Phone:787-628-4624
Mailing Address - Fax:
Practice Address - Street 1:URB. BRISAS DE PALMA SOLA
Practice Address - Street 2:CALLE 7 G13
Practice Address - City:AGUAS BUENAS
Practice Address - State:PR
Practice Address - Zip Code:00703-0070
Practice Address - Country:US
Practice Address - Phone:787-628-4624
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-10
Last Update Date:2022-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR14424104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker