Provider Demographics
NPI:1194597617
Name:MELENDEZ BERMUDEZ, EDWIN FRANCISCO (RN)
Entity type:Individual
Prefix:MR
First Name:EDWIN
Middle Name:FRANCISCO
Last Name:MELENDEZ BERMUDEZ
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB UNIVERSITY GARDENS CALLE MAGA C 31
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00612
Mailing Address - Country:US
Mailing Address - Phone:787-317-2785
Mailing Address - Fax:
Practice Address - Street 1:CARR. NO. 2 KM 8.2 BO JUAN SANCHEZ ANTIGUO MEPSI CENTER
Practice Address - Street 2:
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00960
Practice Address - Country:US
Practice Address - Phone:787-763-7575
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-27
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR81794163WP0807X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0807XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Child & Adolescent