Active NPI
Jose Enrique Panelli, MD
- Pediatrics Physician
- Ponce, PR
National Provider Identifier
1447395025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 11076
- Practice address
- Paseo Villa Flores 1681
Suite 203 Loraine Medical Ctr
Ponce, PR 00716 - Phone
- (787) 844-7711
- Fax
- (787) 844-7711
- NPI assigned
- Feb 21, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 11076 | PR | Primary |
Addresses
Primary practice location
Paseo Villa Flores 1681
Suite 203 Loraine Medical Ctr
Ponce, PR 00716
Mailing address
Paseo Villa Flores 1681
Suite 203 Loraine Medical Ctr
Ponce, PR 00716
Phone (787) 844-7711
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11076 | PR | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1447395025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PASEO VILLA FLORES 1681",
"address_2": "SUITE 203 LORAINE MEDICAL CTR",
"city": "PONCE",
"state": "PR",
"postal_code": "00716",
"telephone_number": "787-844-7711",
"fax_number": "787-844-7711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PASEO VILLA FLORES 1681",
"address_2": "SUITE 203 LORAINE MEDICAL CTR",
"city": "PONCE",
"state": "PR",
"postal_code": "00716",
"telephone_number": "787-844-7711",
"fax_number": "787-844-7711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANELLI",
"first_name": "JOSE",
"middle_name": "ENRIQUE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PR",
"license": "11076",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ponce, PR
- Wilmarie Palomo Colon, PH.D
- Pamg Independent Practice Network Corp
- Pamg Independent Practice Network Corp.
- Pamg Selecto, Inc
- Juan Antonio Panelli Ramery, D.M.D
- Pedro Panelli
- Pedro Ferdinand Panelli, MD, MS, FACP
- Yomaira Alvarez Panelli, PTA
- Mariella Cristina Pappaterra-Rodriguez
- Patricia E Paravisini
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.