Provider Demographics
NPI:1346520707
Name:ORTIZ, MELISSA MUNOZ (RN, BSN)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:MUNOZ
Last Name:ORTIZ
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PASEO DEL PRADO SHOPPING CENTER
Mailing Address - Street 2:CARR. #3 KM 8 HM 4
Mailing Address - City:CAROLINA
Mailing Address - State:PUERTO RICO
Mailing Address - Zip Code:00987
Mailing Address - Country:UM
Mailing Address - Phone:787-710-2532
Mailing Address - Fax:787-750-2830
Practice Address - Street 1:CARR. #3 KM 8 HM 4
Practice Address - Street 2:PASEO DEL PRADO SHOPPING CENTER 2ND FLOOR
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00987
Practice Address - Country:US
Practice Address - Phone:787-710-2532
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-17
Last Update Date:2011-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR32739163WC0400X, 163WN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WN0300XNursing Service ProvidersRegistered NurseNephrology
No163WC0400XNursing Service ProvidersRegistered NurseCase Management