Provider Demographics
NPI:1841910833
Name:CURBELO, EVELIO A (PA)
Entity type:Individual
Prefix:
First Name:EVELIO
Middle Name:A
Last Name:CURBELO
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PASEO LOS CORALES I
Mailing Address - Street 2:564 CALLE GOLFO DE MEXICO
Mailing Address - City:DORADO
Mailing Address - State:PR
Mailing Address - Zip Code:00646
Mailing Address - Country:US
Mailing Address - Phone:787-378-9893
Mailing Address - Fax:
Practice Address - Street 1:PASEO LOS CORALES I
Practice Address - Street 2:564 CALLE GOLFO DE MEXICO
Practice Address - City:DORADO
Practice Address - State:PR
Practice Address - Zip Code:00646-0064
Practice Address - Country:US
Practice Address - Phone:873-789-8937
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-30
Last Update Date:2022-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR756-PA363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR756-PAOtherPUERTO RICO STATE