Provider Demographics
NPI:1356987689
Name:ORAMA MALDONADO, MELANIE GISELLE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MELANIE
Middle Name:GISELLE
Last Name:ORAMA MALDONADO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 CALLE LAUREL
Mailing Address - Street 2:URB. ALTURAS DE JAYUYA
Mailing Address - City:JAYUYA
Mailing Address - State:PR
Mailing Address - Zip Code:00664-1484
Mailing Address - Country:US
Mailing Address - Phone:787-486-9545
Mailing Address - Fax:
Practice Address - Street 1:CALLE GUILLERMO ESTEVES #103
Practice Address - Street 2:
Practice Address - City:JAYUYA
Practice Address - State:PR
Practice Address - Zip Code:00664-2528
Practice Address - Country:US
Practice Address - Phone:787-828-0755
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-21
Last Update Date:2019-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6742183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist