EDIEL J VARELA DELIZ
NPI 1023515194
General Practice in San Juan, PR

Active since April 06, 2018PECOS Enrolled
SANTURCE MEDICAL MALL, 1801 AVE PONCE DE LEON SUITE 309, SAN JUAN, PR 00909(787) 728-1193 Get Directions Write a Review

NPPES record last updated: November 5, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ediel J Varela Deliz NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDIEL J VARELA DELIZ (NPI 1023515194) is an individual general practice provider in San Juan, Puerto Rico, licensed in Puerto Rico (21147) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Hospital Pavia Santurce, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1023515194
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameEDIEL J VARELA DELIZ
Location AddressSANTURCE MEDICAL MALL, 1801 AVE PONCE DE LEON SUITE 309San Juan, PR 00909
Mailing Address48 Ave Munoz Rivera, Cond Aquablue Apt 2106San Juan, PR 00918 · (787) 602-0322
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateApril 6, 2018
Last NPPES UpdateNovember 5, 2018
NPI 1023515194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in PR · 21147
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 14620-I (PR)

Other Identifiers 2

Other021147PR · Medical Doctor
Medicaid021147PR

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ediel J Varela Deliz is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1254665193
PECOS Enrollment IDI20190626000789
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hospital Pavia Santurce

Acute Care Hospitals · San Juan, PR
OwnershipVoluntary non-profit - Private
CMS Certification Number400019
LocationStreet Profesor Augusto Rodriguez #1462San Juan, PR 00910 · San Juan County
Emergency services

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Physical Therapy)
SANTURCE MEDICAL MALL, AVE PONCE DE LEON 1801 SUITE 312
SAN JUAN, PR 00909
Internal Medicine
SANTURCE MEDICAL MALL, 1801 SUITE 207
SAN JUAN, PR 00909
Internal Medicine
SANTURCE MEDICAL MALL, PONCE DE LEON 1801
SAN JUAN, PR 00909

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ediel Varela Deliz's NPI number?

The NPI number for Ediel Varela Deliz is 1023515194. It was assigned to this individual provider in the NPPES registry on April 6, 2018.

Where is Ediel Varela Deliz located?

Ediel Varela Deliz practices at Santurce Medical Mall 1801 Ave Ponce De Leon Suite 309, San Juan, PR 00909. The listed phone number is (787) 728-1193.

What is Ediel Varela Deliz's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Ediel Varela Deliz enrolled in Medicare?

Yes. Ediel Varela Deliz is registered in the Medicare PECOS enrollment system.

Is Ediel Varela Deliz affiliated with any hospitals?

According to CMS data, Ediel Varela Deliz is affiliated with Hospital Pavia Santurce.

When was this NPI record last updated?

The NPPES record for Ediel Varela Deliz was last updated on November 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.