Provider Demographics
NPI:1891486031
Name:LOPEZ, MELANIE DEL ROSARIO (MD)
Entity Type:Individual
Prefix:MISS
First Name:MELANIE
Middle Name:DEL ROSARIO
Last Name:LOPEZ
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Gender:F
Credentials:MD
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Mailing Address - Street 1:84 MACOPA STREET SANTA MESA HEIGHTS
Mailing Address - Street 2:BARANGAY SANTO DOMINGO
Mailing Address - City:QUEZON CITY
Mailing Address - State:NATIONAL CAPITAL REGION
Mailing Address - Zip Code:01114
Mailing Address - Country:PH
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:PHILIPPINE HEART CENTER
Practice Address - Street 2:EAST AVENUE, DILIMAN
Practice Address - City:QUEZON CITY
Practice Address - State:NATIONAL CAPITAL REGION
Practice Address - Zip Code:000850
Practice Address - Country:PH
Practice Address - Phone:028-925-2401
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-18
Last Update Date:2023-10-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ZZ01181582080P0202X
TX480692080P0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0203XAllopathic & Osteopathic PhysiciansPediatricsPediatric Critical Care Medicine
No2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology