Individual provider Active NPI

Delma M Morell, DMD

  • Dentist
  • Camuy, PR
National Provider Identifier
1205828431
Registry record updated Jan 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
1610 Issued in PR
Practice address
4 Calle Caban
Ste 3
Camuy, PR 00627-2368
Phone
(787) 262-0847
NPI assigned
Aug 15, 2005
Last updated
Jan 10, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 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 1610 PR Primary

Addresses

Primary practice location

4 Calle Caban
Ste 3
Camuy, PR 00627-2368

Mailing address

4 Calle Caban Suite 3
Camuy, PUERTO RICO 00627
PK
Phone (787) 262-0847

Other identifiers 2

IdentifierTypeStateIssuer
0641OtherPRFIRST MEDICAL
41673OtherPRTRIPLE S

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

State licenses

LicenseStateTypeSpecialty
1610PRMDMetabolic Nutrition Registered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357776000000",
    "number": "1205828431",
    "addresses": [
        {
            "country_code": "PK",
            "country_name": "Pakistan",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "4 CALLE CABAN SUITE 3",
            "city": "CAMUY",
            "state": "PUERTO RICO",
            "postal_code": "00627",
            "telephone_number": "787-262-0847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 CALLE CABAN",
            "address_2": "STE 3",
            "city": "CAMUY",
            "state": "PR",
            "postal_code": "006272368",
            "telephone_number": "787-262-0847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORELL",
        "first_name": "DELMA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-15",
        "last_updated": "2013-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PR",
            "license": "1610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST MEDICAL",
            "identifier": "0641",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S",
            "identifier": "41673",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camuy, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2013; 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.