Provider Demographics
NPI:1003001736
Name:DELGADO, ROLANDO (DO)
Entity Type:Individual
Prefix:MR
First Name:ROLANDO
Middle Name:
Last Name:DELGADO
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1135
Mailing Address - Street 2:
Mailing Address - City:YAUCO
Mailing Address - State:PR
Mailing Address - Zip Code:00698-1135
Mailing Address - Country:US
Mailing Address - Phone:787-425-7824
Mailing Address - Fax:
Practice Address - Street 1:CARR.128 K.M.2.2 BO.SUSUA BAJA
Practice Address - Street 2:SUITE 106 YAUCO GALLERY
Practice Address - City:YAUCO
Practice Address - State:PR
Practice Address - Zip Code:00698
Practice Address - Country:US
Practice Address - Phone:787-856-5757
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-06
Last Update Date:2007-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR00338152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist