Individual provider Active NPI

Ethel C Lamela, M.D.

  • Pediatrics Physician
  • Isabela, PR
National Provider Identifier
1023021573
Registry record updated Feb 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
7847 Issued in PR
Practice address
5 Calle Barbosa
Isabela, PR 00662-2956
Phone
(787) 872-5090
Fax
(787) 872-5090
NPI assigned
Aug 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 7847 PR Primary

Addresses

Primary practice location

5 Calle Barbosa
Isabela, PR 00662-2956

Mailing address

PO Box 2546
Isabela, PR 00662-9546
Phone (787) 872-5090

Other practice location 1

Ave. Noel Estrada Carr 112 km 1.4 Int
Isabela, PR 00662
Phone (787) 830-2705

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
7847PRMDClinical Psychologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582761600000",
    "number": "1023021573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2546",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006629546",
            "telephone_number": "787-872-5090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 CALLE BARBOSA",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006622956",
            "telephone_number": "787-872-5090",
            "fax_number": "787-872-5090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Ave. Noel Estrada Carr 112 km 1.4 Int",
            "address_purpose": "LOCATION",
            "city": "Isabela",
            "state": "PR",
            "postal_code": "00662",
            "country_code": "US",
            "telephone_number": "787-830-2705",
            "fax_number": "787-830-3059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAMELA",
        "first_name": "ETHEL",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "7847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Isabela, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.