Provider Demographics
NPI:1962420786
Name:DELGADO BUTHER, NORMA VANESSA (MD)
Entity type:Individual
Prefix:DR
First Name:NORMA
Middle Name:VANESSA
Last Name:DELGADO BUTHER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:PO BOX 6022
Mailing Address - Street 2:PMB 368
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00984
Mailing Address - Country:US
Mailing Address - Phone:787-721-6883
Mailing Address - Fax:787-723-3808
Practice Address - Street 1:ASHFORD AVENUE WASHINGTON #29
Practice Address - Street 2:SUITE 403
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00907-1521
Practice Address - Country:US
Practice Address - Phone:787-721-6883
Practice Address - Fax:787-723-3808
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PR14778207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
I15909Medicare UPIN