Provider Demographics
NPI:1356695761
Name:MELENDEZ, NORMALIZ (PHARM D)
Entity type:Individual
Prefix:
First Name:NORMALIZ
Middle Name:
Last Name:MELENDEZ
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HACIENDAS DE MONTE VERDE CALLE PERU
Mailing Address - Street 2:A1
Mailing Address - City:VEGA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00693-0000
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:120 AVE DE DIEGO
Practice Address - Street 2:PUEBLO VIEJO
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00927-6308
Practice Address - Country:US
Practice Address - Phone:787-708-6177
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-07
Last Update Date:2012-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5568183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist