Provider Demographics
NPI:1023021573
Name:LAMELA, ETHEL C (MD)
Entity Type:Individual
Prefix:DR
First Name:ETHEL
Middle Name:C
Last Name:LAMELA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2546
Mailing Address - Street 2:
Mailing Address - City:ISABELA
Mailing Address - State:PR
Mailing Address - Zip Code:00662-9546
Mailing Address - Country:US
Mailing Address - Phone:787-872-5090
Mailing Address - Fax:
Practice Address - Street 1:5 CALLE BARBOSA
Practice Address - Street 2:
Practice Address - City:ISABELA
Practice Address - State:PR
Practice Address - Zip Code:00662-2956
Practice Address - Country:US
Practice Address - Phone:787-872-5090
Practice Address - Fax:787-872-5090
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-15
Last Update Date:2020-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR7847208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics