Healthcare Provider Details

I. General information

NPI: 1073334017
Provider Name (Legal Business Name): ALHELI MEJIA MEJIA FERREL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALHELI MEJIA FERREL MD

II. Dates (important events)

Enumeration Date: 10/22/2024
Last Update Date: 10/22/2024
Certification Date: 10/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

A103 DR JOSE CELSO BARBOSA
SAN JUAN PR
00936-5067
US

IV. Provider business mailing address

PO BOX 365067
SAN JUAN PR
00936-5067
US

V. Phone/Fax

Practice location:
  • Phone: 787-758-2525
  • Fax:
Mailing address:
  • Phone: 787-758-2525
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License Number103-R
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: