Provider Demographics
NPI:1902321193
Name:MELENDEZ, ALEXANDRA (PA-C)
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:
Last Name:MELENDEZ
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1908 WYLIE AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15219-4350
Mailing Address - Country:US
Mailing Address - Phone:412-578-8081
Mailing Address - Fax:
Practice Address - Street 1:1908 WYLIE AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15219-4350
Practice Address - Country:US
Practice Address - Phone:412-578-8081
Practice Address - Fax:412-471-1910
Is Sole Proprietor?:No
Enumeration Date:2017-08-08
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAMA059419OtherSTATE LICENSE
PAOA004429OtherSTATE LICENSE
PAMA059419OtherSTATE LICENSE