Provider Demographics
NPI:1346280906
Name:MELENDEZ RAMIREZ, MANUEL E (MD)
Entity Type:Individual
Prefix:DR
First Name:MANUEL
Middle Name:E
Last Name:MELENDEZ RAMIREZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 PUERTA DEL NORTE
Mailing Address - Street 2:SUITE 6
Mailing Address - City:MANATI
Mailing Address - State:PR
Mailing Address - Zip Code:00674-4999
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:22 PUERTA DEL NORTE
Practice Address - Street 2:SUITE 6
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00674-4999
Practice Address - Country:US
Practice Address - Phone:787-854-6999
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-08
Last Update Date:2016-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR14681208D00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR21606Medicare ID - Type UnspecifiedNUMERO PROVEEDOR
PROTH000Medicare UPIN