Ediel J Varela Deliz
General Practice Physician
Santurce Medical Mall 1801 Ave Ponce De Leon Suite 309
San Juan
, Puerto Rico 00909
Ediel J Varela Deliz
General Practice Physician
Santurce Medical Mall 1801 Ave Ponce De Leon Suite 309
San Juan
, Puerto Rico 00909
(787) 602-0322
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About
Features
Specialties
- General Practice Physician
Languages spoken
- English
Location
First Address
- Ediel J Varela Deliz
- 48 Ave Munoz Rivera Cond Aquablue Apt 2106
- San Juan, PR
- Zip : 00918
- Phone : (787) 602-0322
Second Address
- Ediel J Varela Deliz
- Santurce Medical Mall 1801 Ave Ponce De Leon Suite 309
- San Juan, PR
- Zip : 00909
- Phone : (787) 728-1193
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Is Ediel J Varela Deliz a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208D00000X | General Practice Physician | 21147 | PR |
National Provider Identifier
| NPI | 1023515194 |
|---|---|
| Provider Name | Ediel J Varela Deliz |
| First Address | San Juan, PR 00918 |
| Second Address | San Juan, PR 00909 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/04/2018 |
| Last Update Date | 05/11/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 021147 | (05) | PR |
| 021147 | MEDICAL DOCTOR (01) | PR |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.