1821124850 NPI number — DR. ANA ISABEL MOTTA VELEZ M.D.

Table of content: DR. ANA ISABEL MOTTA VELEZ M.D. (NPI 1821124850)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1821124850 NPI number — DR. ANA ISABEL MOTTA VELEZ M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MOTTA VELEZ
Provider First Name:
ANA
Provider Middle Name:
ISABEL
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1821124850
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
20 CALLE BELEN
Provider Second Line Business Mailing Address:
ALTURAS DE SAN PATRICIO
Provider Business Mailing Address City Name:
GUAYNABO
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00968-3125
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-535-1001
Provider Business Mailing Address Fax Number:
787-535-1012

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
STREET 14 BO. RINCON SEC. LOMAS
Provider Second Line Business Practice Location Address:
PEDIATRIC EMERGENCY ROOM MENNONITE GENERAL HOSPITAL
Provider Business Practice Location Address City Name:
CAYEY
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00737-3130
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-535-1001
Provider Business Practice Location Address Fax Number:
787-535-1012
Provider Enumeration Date:
02/26/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 208000000X , with the licence number:  13654 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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