Provider Demographics
NPI:1891231684
Name:MELENDEZ MARRERO, JULEISHKA MARIE (MS-SLP)
Entity Type:Individual
Prefix:
First Name:JULEISHKA
Middle Name:MARIE
Last Name:MELENDEZ MARRERO
Suffix:
Gender:F
Credentials:MS-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 3 BOX 34406
Mailing Address - Street 2:
Mailing Address - City:MOROVIS
Mailing Address - State:PR
Mailing Address - Zip Code:00687-9053
Mailing Address - Country:US
Mailing Address - Phone:787-362-3340
Mailing Address - Fax:
Practice Address - Street 1:HC 3 BOX 34406
Practice Address - Street 2:
Practice Address - City:MOROVIS
Practice Address - State:PR
Practice Address - Zip Code:00687-9053
Practice Address - Country:US
Practice Address - Phone:787-362-3340
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-17
Last Update Date:2017-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR004029235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist