Provider Demographics
NPI:1376428540
Name:CRUZ MELENDEZ, FABIAN J (BS)
Entity type:Individual
Prefix:
First Name:FABIAN
Middle Name:J
Last Name:CRUZ MELENDEZ
Suffix:
Gender:M
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:532 CALLE LUIS A MORALES
Mailing Address - Street 2:URB ESTANCIAS DEL GOLF
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00730-0531
Mailing Address - Country:US
Mailing Address - Phone:939-224-9401
Mailing Address - Fax:
Practice Address - Street 1:532 LUIS A MORALES ESTANCIAS DEL GOLF
Practice Address - Street 2:URB ESTANCIAS DEL GOLF
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00730
Practice Address - Country:US
Practice Address - Phone:939-224-9401
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-07
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program