Provider Demographics
NPI:1164066858
Name:NORIEGA, MELANIE SOLANGE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MELANIE
Middle Name:SOLANGE
Last Name:NORIEGA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21151 S DIXIE HWY
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33189-2724
Mailing Address - Country:US
Mailing Address - Phone:305-964-4207
Mailing Address - Fax:305-964-4215
Practice Address - Street 1:21151 S DIXIE HWY
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33189-2724
Practice Address - Country:US
Practice Address - Phone:305-964-4207
Practice Address - Fax:305-964-4215
Is Sole Proprietor?:No
Enumeration Date:2019-11-05
Last Update Date:2019-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS50623183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist