MEDICARE: JOEL BRELO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1528998465
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOEL BRELO

Provider Business Mailing Address
First Line	:	3521 SILVERSIDE RD STE 2F1
Second Line	:
City	:	WILMINGTON
State	:	DE
Zip	:	19810-4900
Country	:	US
Telephone Number	:	302-224-1400
Fax Number	:	302-224-1402

Provider Business Practice Location Address
First Line	:	3521 SILVERSIDE RD STE 2F1
Second Line	:
City	:	WILMINGTON
State	:	DE
Zip	:	19810-4900
Country	:	US
Telephone Number	:	302-224-1400
Fax Number	:	302-224-1402

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/21/2026
Last Update Date	:	05/21/2026

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Directions to “ JOEL BRELO ” Practice Location

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