Active NPIIndividual providerSole proprietor

Ediel J Varela Deliz

General Practice in San Juan, Puerto Rico

NPI Number1023515194
Practice location
Santurce Medical Mall, 1801 Ave Ponce De Leon Suite 309, San Juan, PR 00909
Fax
—
Last updated
November 5, 2018

Ediel J Varela Deliz is a General Practice based in San Juan, PR. Ediel J Varela Deliz practices in San Juan, PR. The NPI Number for Ediel J Varela Deliz is 1023515194 and holds a License No. 14620-I (PR). The current practice location address for Ediel J Varela Deliz is Santurce Medical Mall, 1801 Ave Ponce De Leon Suite 309, San Juan, PR 00909 and can be reached out via phone at 787-728-1193.

Provider Profile Details

NPI Number
1023515194
Provider Name
Ediel J Varela Deliz
Provider Entity Type
Individual
Gender
Male
Address
Santurce Medical Mall, 1801 Ave Ponce De Leon Suite 309, San Juan, PR 00909
Phone Number
787-728-1193
Primary Taxonomy
General Practice · 208D00000X
Sole Proprietor
Yes
Provider Enumeration Date
April 6, 2018
Last Update Date
November 5, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
Santurce Medical Mall
1801 Ave Ponce De Leon Suite 309
San Juan, PR 00909
Zip
00909
Phone Number
787-728-1193
San Juan, PR 00909Get directions →

Provider Business Mailing Address Details

Address
48 Ave Munoz Rivera
Cond Aquablue Apt 2106
San Juan, PR 00918
City
San Juan
State
PR
Zip
00918
Phone Number
787-602-0322

License Information

License Number (1)
14620-I
License State (1)
PR
License Number (2)
21147
License State (2)
PR
Taxonomy (2)
General Practice · 208D00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ediel J Varela Deliz?

The NPI number of Ediel J Varela Deliz is 1023515194. It was assigned on April 6, 2018 and is currently active in the NPPES registry.

What is the specialty of Ediel J Varela Deliz?

Ediel J Varela Deliz is registered under the primary taxonomy General Practice (code 208D00000X), licensed in PR under license number 14620-I.

Where does Ediel J Varela Deliz practice?

The practice location is Santurce Medical Mall, 1801 Ave Ponce De Leon Suite 309, San Juan, PR 00909. The office can be reached at 787-728-1193 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1023515194 directly on the NPPES registry website.

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