Provider Demographics
NPI:1811008709
Name:MELENDEZ-DEDOS, HECTOR FELIX (DDS)
Entity Type:Individual
Prefix:
First Name:HECTOR
Middle Name:FELIX
Last Name:MELENDEZ-DEDOS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 367228
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00936-7228
Mailing Address - Country:US
Mailing Address - Phone:787-273-7648
Mailing Address - Fax:787-250-7517
Practice Address - Street 1:CALLE DE DIEGO #369 TORRE HOSPITAL SAN FRANCISCO
Practice Address - Street 2:SUITE 302
Practice Address - City:RIO PIEDRAS
Practice Address - State:PR
Practice Address - Zip Code:00923
Practice Address - Country:US
Practice Address - Phone:787-274-1505
Practice Address - Fax:787-250-7517
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2020-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2101122300000X
NY044107 1122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist