Doctor Name: | MISS NITZMARI MELENDEZ-VAZQUEZ |
NPI Number: | 1861704447 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M. D. |
License Number: | 18478 |
Business Practice Address: | 1120 15th St Augusta, GA - 309120004 |
Business Phone Number: | 7067213052 |
Business Fax Number: | |
Mailing Address: | 1120 15th St, AUGUSTA |
State: | GA |
Postal Code: | 309120004 |
Phone Number: | 7067213052 |
Fax Number: | |
NPI Enumeration Date: | 07/12/2010 |
NPI Last Update Date: | 06/25/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 18478 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |