Individual ProviderMartin Yadiel MelendezStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice AddressCentro Medico De Puerto Rico, San Juan, PR 00935-0001(787) 754-0101(787) 644-7001PECOS EnrollmentBased on the most recent information from CMS, provider Martin Yadiel Melendez does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1295438158Provider TypeIndividualFull NameMelendez, Martin YadielGenderMaleSole ProprietorYesEnumeration Date3/22/2023Last Updated8/24/2024Contact InformationPractice LocationPractice AddressCentro Medico De Puerto Rico, San Juan, PR 00935-0001Phone(787) 754-0101FaxUnlisted FaxMailing LocationMailing Address112 Calle San Bruno, Vega Baja, PR 00693-5684Phone(787) 644-7001FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted IssuerPuerto Rico