Delia Elizabeth Farrulla, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1853 Issued in PR

Practice address

165 Ave. Jardines de Toa Alta 1RST. St.
Rio del Plata Mall
Toa Alta, PR 00954

Phone

(787) 870-2221

Fax

(787) 870-1136

NPI assigned

Aug 15, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357516800000",
    "number": "1629081914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1068",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "009541068",
            "telephone_number": "787-870-2221",
            "fax_number": "787-870-1136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 AVE. JARDINES DE TOA ALTA 1RST. ST.",
            "address_2": "RIO DEL PLATA MALL",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "00954",
            "telephone_number": "787-870-2221",
            "fax_number": "787-870-1136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRULLA",
        "first_name": "DELIA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2013-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "1853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Farmacia Pina
• Farmacia San Fernando Inc
• Farmacia Toa Linda Inc
• Farmacia Yarimar II
• Farmacias Yarimar Inc.
• Jomaralyz Feliciano, CLINICAL SOCIAL WORK
• Omayra Enid Feliciano, M.D.
• Karelys Fernandez Quintana
• Elisbel Ferrer, RPH
• Gladys Ferrer, SOCIAL WORKER

• General Practice Dentistry in Toa Alta, PR
• Providers in Toa Alta, PR by specialty
• General Practice Dentistry in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.