Provider Demographics
NPI:1730308891
Name:MELENDEZ, ZORAIDA MARRERO
Entity Type:Individual
Prefix:
First Name:ZORAIDA
Middle Name:MARRERO
Last Name:MELENDEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ZORAIDA
Other - Middle Name:
Other - Last Name:MELENDEZ MARRERO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RPH
Mailing Address - Street 1:PO BOX 351
Mailing Address - Street 2:
Mailing Address - City:BARCELONETA
Mailing Address - State:PR
Mailing Address - Zip Code:00617-0351
Mailing Address - Country:US
Mailing Address - Phone:939-438-5477
Mailing Address - Fax:
Practice Address - Street 1:88 CARR 2 # CVS07967
Practice Address - Street 2:
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00674-5469
Practice Address - Country:US
Practice Address - Phone:787-854-8450
Practice Address - Fax:787-854-8459
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-25
Last Update Date:2021-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR003473183500000X, 183500000X
PR0362207RI0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No207RI0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical & Laboratory Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
1319410OtherCVS STAFF PHARMACIST
PR801745930OtherRCM UPR
PR0000099146OtherGOOD STANDING
PR0362OtherPR PHARMACY BOARD
1441754OtherNABP
PR51533OtherORCPS VACCINE ADMINISTRATION
PR001837407Other66-0232687WALGREEN OF PUERTO RICO INC.
333439OtherNABP
PR003473OtherCOLEGIO DE FARMCEUTICOS DE PUERTO RICO
PR051098OtherHEALTH PROF REG
FLRPT78982OtherLIICENSE
PR003473OtherCOLEGIO DE FARMCEUTICOS DE PUERTO RICO
PR221571415 1744121010OtherORIENTAL BANK
PR801745930OtherRCM UPR
PR0362OtherJFPR
PR012502341 3106903785OtherSANTANDER BARRANQUITAS
PR706120199CIFRDOtherELAPR DEPT TRABAJO RECURSOS HUMANOS
PR0000099146OtherGOOD STANDING ZORAIDA M MELENDEZ MARRERO