Keren Isabel Melendez
Individual provider Active NPI Psychologist · Toa Baja, PR
NPI 1750108965 · NPPES record last updated Sep 20, 2024
Key facts
- NPI
- 1750108965
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 7021 (PR)
- Practice address
- 3571 Calle Paseo Conde, Levittown
Toa Baja, PR 00949 - Phone
- (939) 218-3056
- NPI assigned
- Sep 20, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7021 | PR | MD | Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 7021 | PR | Yes |
Addresses
Primary practice location
3571 Calle Paseo Conde, Levittown
Toa Baja, PR 00949
Mailing address
3571 Calle Paseo Conde, Levittown
Toa Baja, PR 00949
Phone (939) 218-3056
Other providers in Toa Baja, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 20, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.