Provider Demographics
NPI:1316980758
Name:MELO, FRANCISCO J (MD)
Entity type:Individual
Prefix:
First Name:FRANCISCO
Middle Name:J
Last Name:MELO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:FRANK
Other - Middle Name:J
Other - Last Name:MELO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 52650
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85208-0133
Mailing Address - Country:US
Mailing Address - Phone:888-206-5902
Mailing Address - Fax:480-466-7536
Practice Address - Street 1:4825 S HIGHWAY 95 # 2-356
Practice Address - Street 2:
Practice Address - City:FORT MOHAVE
Practice Address - State:AZ
Practice Address - Zip Code:86426
Practice Address - Country:US
Practice Address - Phone:888-206-5902
Practice Address - Fax:480-466-7536
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-14
Last Update Date:2019-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY211559207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM000T8384Medicaid
AZ444571Medicaid
H37927Medicare UPIN
AZ444571Medicaid