Provider Demographics
NPI:1104945195
Name:DELGADO, LUZ ENEIDA (MD)
Entity type:Individual
Prefix:DR
First Name:LUZ
Middle Name:ENEIDA
Last Name:DELGADO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 411
Mailing Address - Street 2:
Mailing Address - City:LAS PIEDRAS
Mailing Address - State:PR
Mailing Address - Zip Code:00771-0411
Mailing Address - Country:US
Mailing Address - Phone:787-733-2977
Mailing Address - Fax:787-733-2977
Practice Address - Street 1:10 CALLE LEOPOLDO FIGUEROA
Practice Address - Street 2:
Practice Address - City:LAS PIEDRAS
Practice Address - State:PR
Practice Address - Zip Code:00771-3049
Practice Address - Country:US
Practice Address - Phone:787-733-2977
Practice Address - Fax:787-733-2977
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR9316208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice