Provider Demographics
NPI:1649237181
Name:TOTTI, NOEL III (MD)
Entity type:Individual
Prefix:
First Name:NOEL
Middle Name:
Last Name:TOTTI
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:735 PONCE DE LEON AVE
Mailing Address - Street 2:SUITE 716
Mailing Address - City:HATO REY
Mailing Address - State:PR
Mailing Address - Zip Code:00917-5022
Mailing Address - Country:US
Mailing Address - Phone:787-765-3079
Mailing Address - Fax:787-767-7170
Practice Address - Street 1:735 PONCE DE LEON AVE
Practice Address - Street 2:SUITE 716
Practice Address - City:HATO REY
Practice Address - State:PR
Practice Address - Zip Code:00917-5022
Practice Address - Country:US
Practice Address - Phone:787-765-3079
Practice Address - Fax:787-767-7170
Is Sole Proprietor?:No
Enumeration Date:2006-04-27
Last Update Date:2010-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6216207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR29146CMedicare ID - Type Unspecified
PRE08568Medicare UPIN