Provider Demographics
NPI:1053507723
Name:MELENDEZ, ISABEL (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:ISABEL
Middle Name:
Last Name:MELENDEZ
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5335 NW 87TH AVE STE 109-116
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33178-2833
Mailing Address - Country:US
Mailing Address - Phone:407-361-3641
Mailing Address - Fax:
Practice Address - Street 1:3625 NW 82ND AVE STE 400
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33166-7602
Practice Address - Country:US
Practice Address - Phone:786-763-0480
Practice Address - Fax:786-206-3476
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-17
Last Update Date:2024-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR766235Z00000X
GA007907235Z00000X
FL9377235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist