Provider Demographics
NPI:1760787329
Name:FELIX, CARMEN R. MELENDEZ (TO,)
Entity Type:Individual
Prefix:MRS
First Name:CARMEN R.
Middle Name:MELENDEZ
Last Name:FELIX
Suffix:
Gender:F
Credentials:TO,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:COOP. CIUDAD UNIVERSITARIA 2AVE. PERIFERAL
Mailing Address - Street 2:APT. 604B
Mailing Address - City:TRUJILLO ALTO
Mailing Address - State:PUERTO RICO
Mailing Address - Zip Code:00976
Mailing Address - Country:UM
Mailing Address - Phone:787-408-2781
Mailing Address - Fax:
Practice Address - Street 1:COOP. CIUDAD UNIVERSITARIA 2AVE. PERIFERAL
Practice Address - Street 2:APT. 604B
Practice Address - City:TRUJILLO ALTO
Practice Address - State:PUERTO RICO
Practice Address - Zip Code:00976
Practice Address - Country:UM
Practice Address - Phone:787-408-2781
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-12
Last Update Date:2011-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR148174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist