Provider Demographics
NPI:1609031731
Name:MELENDEZ SANCHEZ, GILBERTO (OD)
Entity Type:Individual
Prefix:DR
First Name:GILBERTO
Middle Name:
Last Name:MELENDEZ SANCHEZ
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:EDIFICIO TOMAS QUILAN CALLE PARQUE #32
Mailing Address - Street 2:SUITE 36
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00961-6110
Mailing Address - Country:US
Mailing Address - Phone:787-798-3735
Mailing Address - Fax:
Practice Address - Street 1:EDIFICIO TOMAS QUILAN CALLE PARQUE #32
Practice Address - Street 2:SUITE 36
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00961-6110
Practice Address - Country:US
Practice Address - Phone:787-798-3735
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-29
Last Update Date:2021-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR361152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist