Provider Demographics
NPI:1396208336
Name:MELENDEZ-GARCIA, ALBERTO JULIAN (MD)
Entity Type:Individual
Prefix:
First Name:ALBERTO
Middle Name:JULIAN
Last Name:MELENDEZ-GARCIA
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:APT 4B 20-41 SEAGIRT BLVD
Mailing Address - Street 2:FAR ROCKAWAY
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:11691
Mailing Address - Country:US
Mailing Address - Phone:787-587-0110
Mailing Address - Fax:
Practice Address - Street 1:327 BEACH 19TH ST, FAR ROCKAWAY
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:11691
Practice Address - Country:US
Practice Address - Phone:718-869-7000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-08
Last Update Date:2019-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program