Provider Demographics
NPI:1770375644
Name:MELENDEZ, NISA ODELYS (MD, MPH)
Entity type:Individual
Prefix:
First Name:NISA
Middle Name:ODELYS
Last Name:MELENDEZ
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:167 CALLE EL GIGANTE
Mailing Address - Street 2:
Mailing Address - City:GURABO
Mailing Address - State:PR
Mailing Address - Zip Code:00778-4082
Mailing Address - Country:US
Mailing Address - Phone:787-462-2591
Mailing Address - Fax:
Practice Address - Street 1:PR WOMEN AND CHILDERN'S HOSITAL KM 11.7 PR-2
Practice Address - Street 2:
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959
Practice Address - Country:US
Practice Address - Phone:787-474-8282
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-19
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program