Provider Demographics
NPI:1326180092
Name:SEDA MELENDEZ, NANCY R (MD)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:R
Last Name:SEDA MELENDEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:NANCY
Other - Middle Name:R
Other - Last Name:SEDA MELENDEZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 7128
Mailing Address - Street 2:MIGRANT HEALTH CENTER, INC
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00681-7128
Mailing Address - Country:US
Mailing Address - Phone:787-805-2900
Mailing Address - Fax:787-834-1924
Practice Address - Street 1:BO MONTALVA 23 ENSENADA
Practice Address - Street 2:MIGRANT HEALTH CENTER, INC
Practice Address - City:GUANICA
Practice Address - State:PR
Practice Address - Zip Code:00647
Practice Address - Country:US
Practice Address - Phone:787-821-3377
Practice Address - Fax:787-821-5328
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-12
Last Update Date:2012-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8788208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRFO1060Medicare UPIN
PR82547Medicare ID - Type UnspecifiedMEDICARE