Provider Demographics
NPI:1982359550
Name:BATLLE, MAURICE ALBERT (MD)
Entity Type:Individual
Prefix:DR
First Name:MAURICE
Middle Name:ALBERT
Last Name:BATLLE
Suffix:
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 1:5033 HIDDEN CREEK CIR
Mailing Address - Street 2:
Mailing Address - City:SOLON
Mailing Address - State:OH
Mailing Address - Zip Code:44139-1190
Mailing Address - Country:US
Mailing Address - Phone:440-542-0497
Mailing Address - Fax:
Practice Address - Street 1:5033 HIDDEN CREEK CIR
Practice Address - Street 2:
Practice Address - City:SOLON
Practice Address - State:OH
Practice Address - Zip Code:44139-1190
Practice Address - Country:US
Practice Address - Phone:216-312-4264
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-13
Last Update Date:2022-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD041368L174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAMD041368LOtherCARDIOLOGY