Provider Demographics
NPI:1346957941
Name:NARVAEZ DEL PILAR, VANELIZ
Entity Type:Individual
Prefix:
First Name:VANELIZ
Middle Name:
Last Name:NARVAEZ DEL PILAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:64 CALLE JOSE L LINARES UNIT 154
Mailing Address - Street 2:
Mailing Address - City:QUEBRADILLAS
Mailing Address - State:PR
Mailing Address - Zip Code:00678-1937
Mailing Address - Country:US
Mailing Address - Phone:787-308-7472
Mailing Address - Fax:
Practice Address - Street 1:9087 FITO VALLE, RM 484 KM 1.5 INT, DELPILAR RD
Practice Address - Street 2:
Practice Address - City:QUEBRADILLAS
Practice Address - State:PR
Practice Address - Zip Code:00678-0067
Practice Address - Country:US
Practice Address - Phone:787-308-7472
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-02
Last Update Date:2022-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR23052208D00000X
PR023052208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR00251833OtherPUERTO RICO MEDICAL LICENSING AND DISCIPLINE BOARD