Provider Demographics
NPI:1437888906
Name:MELENDEZ-MORAN, DANIEL FEDERICO
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:FEDERICO
Last Name:MELENDEZ-MORAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 METROS NORTE IGLESIA DE SAN ISIDRO DE HEREDIA, POR
Mailing Address - Street 2:
Mailing Address - City:SAN ISIDRO
Mailing Address - State:HEREDIA
Mailing Address - Zip Code:40601
Mailing Address - Country:CR
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:500 METROS NORTE IGLESIA DE SAN ISIDRO DE HEREDIA, POR
Practice Address - Street 2:
Practice Address - City:SAN ISIDRO
Practice Address - State:HEREDIA
Practice Address - Zip Code:40601
Practice Address - Country:CR
Practice Address - Phone:348-882-6735
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-08
Last Update Date:2022-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program