Provider Demographics
NPI:1326375320
Name:MACHADO, MELISSA MARIE (RN)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:MARIE
Last Name:MACHADO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 CALLE JUAN MARTINEZ APT 25
Mailing Address - Street 2:COND. MALAGA PARK 2E
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00971-9705
Mailing Address - Country:US
Mailing Address - Phone:787-390-1673
Mailing Address - Fax:
Practice Address - Street 1:14 CALLE JUAN MARTINEZ APT 25
Practice Address - Street 2:COND. MALAGA PARK 2E
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00971-9705
Practice Address - Country:US
Practice Address - Phone:787-390-1673
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-11-11
Last Update Date:2009-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR29281163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse