Active NPI
Varela Deliz Medical Group, LLC
- General Practice Physician
- San Juan, PR
National Provider Identifier
1578345732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- VARELA DELIZ MEDICAL GROUP, LLC
- Practice address
- 1801 Santurce Medical Mall
Ave Ponce de Leon Oficina 403
San Juan, PR 00909 - Phone
- (787) 728-1193
- Fax
- (787) 726-4244
- NPI assigned
- Oct 20, 2023
- Last updated
- Oct 20, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ediel Javier Varela Deliz
- Title
- President
- Phone
- (787) 602-0322
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | NU | Primary |
Addresses
Primary practice location
1801 Santurce Medical Mall
Ave Ponce de Leon Oficina 403
San Juan, PR 00909
Mailing address
48 Ave Munoz Rivera
Cond Aquablue Apt 2106
San Juan, PR 00918
Phone (787) 602-0322
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Physician
- San Juan, PR
- NPI 1972713345
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697760000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1697760000000",
"number": "1578345732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "48 AVE MUNOZ RIVERA",
"address_2": "COND AQUABLUE APT 2106",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00918",
"telephone_number": "787-602-0322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 SANTURCE MEDICAL MALL",
"address_2": "AVE PONCE DE LEON OFICINA 403",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00909",
"telephone_number": "787-728-1193",
"fax_number": "787-726-4244"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VARELA DELIZ MEDICAL GROUP, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-20",
"last_updated": "2023-10-20",
"certification_date": "2023-10-19",
"status": "A",
"authorized_official_last_name": "VARELA DELIZ",
"authorized_official_first_name": "EDIEL",
"authorized_official_middle_name": "JAVIER",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-602-0322",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.