Provider Demographics
NPI:1154121523
Name:MELGAREJO SOTO, MEYLIN (DMD)
Entity type:Individual
Prefix:
First Name:MEYLIN
Middle Name:
Last Name:MELGAREJO SOTO
Suffix:
Gender:
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 S POINT DR APT 208
Mailing Address - Street 2:
Mailing Address - City:DORCHESTER
Mailing Address - State:MA
Mailing Address - Zip Code:02125-3524
Mailing Address - Country:US
Mailing Address - Phone:786-359-9773
Mailing Address - Fax:
Practice Address - Street 1:15 S POINT DR APT 208
Practice Address - Street 2:
Practice Address - City:DORCHESTER
Practice Address - State:MA
Practice Address - Zip Code:02125-3524
Practice Address - Country:US
Practice Address - Phone:786-359-9773
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-15
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program