Individual provider Active NPI

Delia L Morell, DMD

  • Dentist
  • Arecibo, PR
National Provider Identifier
1053396556
Registry record updated Apr 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
922 Issued in PR
Practice address
Calle Antonio R Barcelo 163
Ste 103
Arecibo, PR 00612-0163
Phone
(787) 878-2912
Fax
(787) 878-2912
NPI assigned
Dec 7, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 922 PR Primary

Addresses

Primary practice location

Calle Antonio R Barcelo 163
Ste 103
Arecibo, PR 00612-0163

Mailing address

PO Box 713
Camuy, PR 00627-0713
Phone (787) 878-2912

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150805008522 PR Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1254645112

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
922PRMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366588800000",
    "number": "1053396556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 713",
            "city": "CAMUY",
            "state": "PR",
            "postal_code": "006270713",
            "telephone_number": "787-878-2912",
            "fax_number": "787-878-2912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE ANTONIO R BARCELO 163",
            "address_2": "STE 103",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006120163",
            "telephone_number": "787-878-2912",
            "fax_number": "787-878-2912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORELL",
        "first_name": "DELIA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-07",
        "last_updated": "2013-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PR",
            "license": "922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arecibo, PR

Sources for this page

Verify at the official NPI Registry.