Provider Demographics
NPI:1174240931
Name:MELECIO DE JESUS, ORLANDO LUIS (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ORLANDO
Middle Name:LUIS
Last Name:MELECIO DE JESUS
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:374 AVE PONCE DE LEON
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00918-2024
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:C1 CALLE PARKSIDE 4
Practice Address - Street 2:
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00968-3305
Practice Address - Country:US
Practice Address - Phone:787-792-0780
Practice Address - Fax:787-782-8163
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-24
Last Update Date:2023-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR0081551835P2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care