Provider Demographics
NPI:1205576782
Name:OTERO-BELL, ELIANA LAUREN (MD)
Entity type:Individual
Prefix:DR
First Name:ELIANA
Middle Name:LAUREN
Last Name:OTERO-BELL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ELIANA
Other - Middle Name:LAUREN
Other - Last Name:STOPPEL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:1 UNIVERSITY OF NEW MEXICO # 95040
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87131-0001
Mailing Address - Country:US
Mailing Address - Phone:505-272-6607
Mailing Address - Fax:505-272-8045
Practice Address - Street 1:1 UNIVERSITY OF NEW MEXICO # 95040
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87131-0001
Practice Address - Country:US
Practice Address - Phone:505-272-6607
Practice Address - Fax:505-272-8045
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-31
Last Update Date:2024-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMRS2022-0475390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program