Provider Demographics
NPI:1205828431
Name:MORELL, DELMA M (DMD)
Entity Type:Individual
Prefix:DR
First Name:DELMA
Middle Name:M
Last Name:MORELL
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 CALLE CABAN SUITE 3
Mailing Address - Street 2:
Mailing Address - City:CAMUY
Mailing Address - State:PUERTO RICO
Mailing Address - Zip Code:00627
Mailing Address - Country:PK
Mailing Address - Phone:787-262-0847
Mailing Address - Fax:
Practice Address - Street 1:4 CALLE CABAN
Practice Address - Street 2:STE 3
Practice Address - City:CAMUY
Practice Address - State:PR
Practice Address - Zip Code:00627-2368
Practice Address - Country:US
Practice Address - Phone:787-262-0847
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-15
Last Update Date:2013-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1610122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0641OtherFIRST MEDICAL
PR41673OtherTRIPLE S