Provider Demographics
NPI:1548306137
Name:MELENDEZ RAMIREZ, LYDIA YVONNE (MD)
Entity type:Individual
Prefix:DR
First Name:LYDIA
Middle Name:YVONNE
Last Name:MELENDEZ RAMIREZ
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1400 POYDRAS ST
Mailing Address - Street 2:AMBULATORY DEPT 3RD FLOOR
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70112-5100
Mailing Address - Country:US
Mailing Address - Phone:504-903-5155
Mailing Address - Fax:504-903-5157
Practice Address - Street 1:1400 POYDRAS ST
Practice Address - Street 2:AMBULATORY DEPT 3RD FLOOR
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70112-5100
Practice Address - Country:US
Practice Address - Phone:504-903-5155
Practice Address - Fax:504-903-5157
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2011-01-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA019748207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1074047Medicaid
LA1074047Medicaid
F94093Medicare UPIN