Provider Demographics
NPI:1356404909
Name:MELENDEZ ORTIZ, FELIX (MD)
Entity type:Individual
Prefix:DR
First Name:FELIX
Middle Name:
Last Name:MELENDEZ ORTIZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB LA REGATE RR 2
Mailing Address - Street 2:BUZON 432
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00928
Mailing Address - Country:US
Mailing Address - Phone:787-769-7525
Mailing Address - Fax:
Practice Address - Street 1:AVE EL COMANDANTE CALLE 266
Practice Address - Street 2:PB 30 3RD EXTENCION COUNTRY CLUB
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00982
Practice Address - Country:US
Practice Address - Phone:787-769-7525
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR10501204C00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered204C00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine, Sports Medicine
Not Answered207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR500042EOtherMMM
PR82900OtherSSS
PR82900OtherSSS
PR0082900Medicare ID - Type Unspecified