Provider Demographics
NPI:1396993887
Name:MELENDEZ, SYLVIA M (SOCIAL WORKER)
Entity type:Individual
Prefix:MRS
First Name:SYLVIA
Middle Name:M
Last Name:MELENDEZ
Suffix:
Gender:F
Credentials:SOCIAL WORKER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 CALLE ATENAS APT 504
Mailing Address - Street 2:MONTE ATENAS
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-7811
Mailing Address - Country:US
Mailing Address - Phone:787-283-7601
Mailing Address - Fax:787-740-4175
Practice Address - Street 1:1300 CALLE ATENAS APT 504
Practice Address - Street 2:MONTE ATENAS
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-7811
Practice Address - Country:US
Practice Address - Phone:787-283-7601
Practice Address - Fax:787-740-4175
Is Sole Proprietor?:No
Enumeration Date:2008-09-09
Last Update Date:2008-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR25601041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical