| Doctor Name: | DR. MARIELLY MELENDEZ TIRADO |
| NPI Number: | 1184646911 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 16254 |
| Business Practice Address: | 111 Calle Dufresne W Humacao, PR - 007913601 |
| Business Phone Number: | 7878500211 |
| Business Fax Number: | 7878500211 |
| Mailing Address: | Urb Veredas Calle 6 Casa 263, GURABO |
| State: | PR |
| Postal Code: | 00778 |
| Phone Number: | 7872180245 |
| Fax Number: | 7878500220 |
| NPI Enumeration Date: | 07/24/2006 |
| NPI Last Update Date: | 10/05/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 16254 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |