Provider Demographics
NPI:1518042456
Name:MELIN S. CANEZ, M.D.,P.C.
Entity Type:Organization
Organization Name:MELIN S. CANEZ, M.D.,P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MELIN
Authorized Official - Middle Name:S
Authorized Official - Last Name:CANEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:520-886-5236
Mailing Address - Street 1:PO BOX 30513
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85751-0513
Mailing Address - Country:US
Mailing Address - Phone:520-886-5236
Mailing Address - Fax:520-722-5662
Practice Address - Street 1:6522 A E. CARONDELET DR.
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85710
Practice Address - Country:US
Practice Address - Phone:520-886-5236
Practice Address - Fax:520-722-5662
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-26
Last Update Date:2011-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ690801Medicaid
1598742488OtherNPI FOR INDIVIDUAL
AZ76106Medicare ID - Type Unspecified
1598742488OtherNPI FOR INDIVIDUAL