| Manuel Melendez Md Pa | |
|
10250 Sw 56th St Ste A102 Miami FL 33165-7064 | |
| (786) 477-4431 | |
| (786) 477-4377 |
| Full Name | Manuel Melendez Md Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 10250 Sw 56th St Ste A102, Miami, Florida |
| Authorized Official Name and Position | Manuel Melendez (PRESIDENT) |
| Authorized Official Contact | 7864774431 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Manuel Melendez Md Pa 826 Medina Ave Coral Gables FL 33134-2418 Ph: (786) 477-4431 | Manuel Melendez Md Pa 10250 Sw 56th St Ste A102 Miami FL 33165-7064 Ph: (786) 477-4431 |
| NPI Number | 1609202050 |
|---|---|
| Provider Enumeration Date | 09/17/2013 |
| Last Update Date | 03/22/2022 |
| Certification Date | 03/22/2022 |
| Medicare PECOS PAC ID | 9436389806 |
|---|---|
| Medicare Enrollment ID | O20140304001044 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609202050 | NPI | - | NPPES |
| HS308A | Other | FL | (PTAN ) MEDICARE PROVIDER TRANSACTION NUMBER |
| 001349400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME102626 (Florida) | Primary |
| Provider Name | Manuel A Melendez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992815203 PECOS PAC ID: 1557391109 Enrollment ID: I20100311001041 |
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