Provider Demographics
NPI:1821395765
Name:MELERO ROSA, YELITZA (TR)
Entity Type:Individual
Prefix:MRS
First Name:YELITZA
Middle Name:
Last Name:MELERO ROSA
Suffix:
Gender:F
Credentials:TR
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 2384
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00613-2384
Mailing Address - Country:US
Mailing Address - Phone:787-514-8370
Mailing Address - Fax:
Practice Address - Street 1:BO JUNCOS SECTOR HATO ARRIBA
Practice Address - Street 2:CARR 652
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612
Practice Address - Country:US
Practice Address - Phone:787-514-8370
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-11
Last Update Date:2011-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR0026972471S1302X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonography