Provider Demographics
NPI:1992795975
Name:DELGADO MATEO, ADA L (MD)
Entity type:Individual
Prefix:DR
First Name:ADA
Middle Name:L
Last Name:DELGADO MATEO
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:BAYAMON MEDICAL PLZ
Mailing Address - Street 2:SUITE 902
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00959-7200
Mailing Address - Country:US
Mailing Address - Phone:787-780-9212
Mailing Address - Fax:787-785-9212
Practice Address - Street 1:BAYAMON MEDICAL PLZ
Practice Address - Street 2:SUITE 902
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959-7200
Practice Address - Country:US
Practice Address - Phone:787-780-9212
Practice Address - Fax:787-785-9212
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-21
Last Update Date:2013-03-19
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Provider Licenses
StateLicense IDTaxonomies
PR111102084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR83416Medicare ID - Type Unspecified
F63928Medicare UPIN