Provider Demographics
NPI:1992118756
Name:DELGADO, CARMEN JANNETTE I
Entity type:Individual
Prefix:MRS
First Name:CARMEN
Middle Name:JANNETTE
Last Name:DELGADO
Suffix:I
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:CARMEN
Other - Middle Name:JANNETTE
Other - Last Name:DELGADO
Other - Suffix:I
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 250
Mailing Address - Street 2:
Mailing Address - City:TOA ALTA
Mailing Address - State:PR
Mailing Address - Zip Code:00954-0250
Mailing Address - Country:US
Mailing Address - Phone:787-445-8408
Mailing Address - Fax:
Practice Address - Street 1:48 CALLE LAS FLORES
Practice Address - Street 2:
Practice Address - City:CATANO
Practice Address - State:PR
Practice Address - Zip Code:00962-4745
Practice Address - Country:US
Practice Address - Phone:787-788-2770
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-09
Last Update Date:2014-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator