Provider Demographics
NPI:1952552481
Name:MORALES MENA, ANABELLE (MD)
Entity type:Individual
Prefix:
First Name:ANABELLE
Middle Name:
Last Name:MORALES MENA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ANABELLE
Other - Middle Name:
Other - Last Name:MORALES MENA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:1403 PARKVIEW DR
Mailing Address - Street 2:
Mailing Address - City:LYNDHURST
Mailing Address - State:OH
Mailing Address - Zip Code:44124-2403
Mailing Address - Country:US
Mailing Address - Phone:203-535-8599
Mailing Address - Fax:
Practice Address - Street 1:6559 WILSON MILLS RD
Practice Address - Street 2:STE 106
Practice Address - City:MAYFIELD VILLAGE
Practice Address - State:OH
Practice Address - Zip Code:44143-3433
Practice Address - Country:US
Practice Address - Phone:440-449-1540
Practice Address - Fax:440-460-2833
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-02
Last Update Date:2021-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-123509207R00000X, 207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine