Provider Demographics
NPI:1437131091
Name:FALCON-MELENDEZ, ROLUARDO L (MD)
Entity Type:Individual
Prefix:
First Name:ROLUARDO
Middle Name:L
Last Name:FALCON-MELENDEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:ROLUARDO
Other - Middle Name:L
Other - Last Name:FALCON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 631568
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21263-1568
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6701 N CHARLES ST
Practice Address - Street 2:DEPT OF INTERNAL MEDICINE-HOSPITALISTS
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21204-6808
Practice Address - Country:US
Practice Address - Phone:443-849-8046
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-18
Last Update Date:2008-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0060721208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD403938600Medicaid
9089975OtherCIGNA
DCF551-0019OtherCAREFIRST BLUE CROSS
106708OtherJOHNS HOPKINS HEALTHCARE
MD63707903OtherCAREFIRST BLUE CROSS
7608670OtherAETNA PPO
3749452OtherAETNA HMO
5232OtherBRAVO/ELDER HEALTH
106708OtherJOHNS HOPKINS HEALTHCARE