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SELBYVILLE INTERNAL MEDICINE LLC
NPI 1790967198
Specialist in Selbyville, DE

Active since November 28, 2007
18 MASON DIXON SHOPPING CTR, SELBYVILLE, DE 19975(302) 436-6394(302) 436-6398 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Selbyville Internal Medicine Llc NPPES

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

SELBYVILLE INTERNAL MEDICINE LLC (NPI 1790967198) is a healthcare organization registered as a specialist in Selbyville, Delaware and active in the NPI registry since November 2007. The organization lists Julio Manuel Depena, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1790967198
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSELBYVILLE INTERNAL MEDICINE LLC
Location Address18 MASON DIXON SHOPPING CTRSelbyville, DE 19975-9641
Mailing Address18 Mason Dixon Shopping CtrSelbyville, DE 19975-9641 · (302) 436-6394 · Fax (302) 436-6398
Phone(302) 436-6394
Fax(302) 436-6398
Organization SubpartNo
Authorized OfficialJulio Manuel DepenaPhysician/owner · (302) 436-6394
Enumeration DateNovember 28, 2007
Last NPPES UpdateMarch 7, 2023
✔ NPI 1790967198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in DE · C10005626
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
18 MASON DIXON SHOPPING CTR, Selbyville, DE 19975
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Other Identifiers 1

OtherC10005626DE · De State License

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

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 Selbyville Internal Medicine LLC's NPI number?

The NPI number for Selbyville Internal Medicine LLC is 1790967198. It was assigned to this organization in the NPPES registry on November 28, 2007.

Where is Selbyville Internal Medicine LLC located?

Selbyville Internal Medicine LLC is located at 18 Mason Dixon Shopping Ctr, Selbyville, DE 19975. The listed phone number is (302) 436-6394.

What is Selbyville Internal Medicine LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Selbyville Internal Medicine LLC was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.