Provider Demographics
NPI:1811797418
Name:DR HECTOR J MELENDEZ GONZALEZ ESPECIALISTA EN INFECTOLOGIA LLC
Entity type:Organization
Organization Name:DR HECTOR J MELENDEZ GONZALEZ ESPECIALISTA EN INFECTOLOGIA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HECTOR
Authorized Official - Middle Name:J
Authorized Official - Last Name:MELENDEZ-GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-936-2966
Mailing Address - Street 1:1509 AVE PONCE DE LEON APT 1434
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00909-2014
Mailing Address - Country:US
Mailing Address - Phone:787-936-2966
Mailing Address - Fax:
Practice Address - Street 1:LAS VISTAS SHOOPING VILLAGE
Practice Address - Street 2:SUITE1
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926
Practice Address - Country:US
Practice Address - Phone:787-936-2966
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-14
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty