Provider Demographics
NPI:1437502333
Name:SANTANA MELGAREJO, YANEIDY (MD)
Entity type:Individual
Prefix:
First Name:YANEIDY
Middle Name:
Last Name:SANTANA MELGAREJO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3450 E FLETCHER AVE STE 260
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33613-4697
Mailing Address - Country:US
Mailing Address - Phone:813-419-3108
Mailing Address - Fax:813-482-0542
Practice Address - Street 1:3450 E FLETCHER AVE STE 260
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33613-4697
Practice Address - Country:US
Practice Address - Phone:813-419-3108
Practice Address - Fax:813-482-0542
Is Sole Proprietor?:No
Enumeration Date:2016-07-15
Last Update Date:2024-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME154320207RC0200X, 207RP1001X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine