Provider Demographics
NPI:1265489272
Name:LIPSETT, ANNABELLE (MD)
Entity Type:Individual
Prefix:
First Name:ANNABELLE
Middle Name:
Last Name:LIPSETT
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:HC 5 BOX 55035
Mailing Address - Street 2:BO. AGUACATE
Mailing Address - City:AGUADILLA
Mailing Address - State:PR
Mailing Address - Zip Code:00603-9558
Mailing Address - Country:US
Mailing Address - Phone:787-891-8910
Mailing Address - Fax:787-891-8910
Practice Address - Street 1:HC 3 BOX 35675
Practice Address - Street 2:BO. CEIBA BAJA
Practice Address - City:AGUADILLA
Practice Address - State:PR
Practice Address - Zip Code:00603-9451
Practice Address - Country:US
Practice Address - Phone:787-891-8910
Practice Address - Fax:787-891-8910
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR7082207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRH29468Medicare UPIN
PR0028893Medicare ID - Type Unspecified