Abiodun Abayomi Odeleye, M.D.
Individual provider Active NPI Anatomic Pathology & Clinical Pathology Physician · Mayaguez, PR
NPI 1699894550 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1699894550
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician 207ZP0102X
- License
- 16408 (PR)
- Practice address
- La Palma Building, Peral14- 1G
Peral & Diego Streets
Mayaguez, PR 00680-4905 - Phone
- (787) 832-6900
- Fax
- (787) 832-6902
- NPI assigned
- Mar 29, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C10007539 | DE | MD | Anatomic Pathology & Clinical Pathology Physician |
| ME9374 | FL | MD | Anatomic Pathology & Clinical Pathology Physician |
| 16408 | PR | MD | Anatomic Pathology & Clinical Pathology Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 16408 | PR | Yes |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | C10007539 | DE | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | ME9374 | FL |
Addresses
Primary practice location
La Palma Building, Peral14- 1G
Peral & Diego Streets
Mayaguez, PR 00680-4905
Mailing address
La Palma Building, Peral14- 1G
Peral & Diego Streets
Mayaguez, PR 00680-4905
Phone (787) 832-6900
Other providers in Mayaguez, PR
- Nutricare Enteral Alimentation, Inc.
- O & M Enterprises Inc
- Jorge Enrique Oben Martinez
- Yolanda Ocasio Marin
- Iris N. Ocasio
- Oficina Dental Dr. Raul F. Cordero C.S.P.
- Oficina Medica Dr. Luis J. Suau, CSP
- Juan Andres Oharriz Vina
- Winston Ojeda-Laracuente
- Mario Luis Olivencia Malave
All providers in Mayaguez, PR · Anatomic Pathology & Clinical Pathology Physician in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.