Provider Demographics
NPI:1083994446
Name:DELGADO, OLGA I (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:OLGA
Middle Name:I
Last Name:DELGADO
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:BRISAS DE MONTECASINO
Mailing Address - Street 2:CALLLE SIBONEY #522
Mailing Address - City:TOA ALTA
Mailing Address - State:PR
Mailing Address - Zip Code:00953
Mailing Address - Country:US
Mailing Address - Phone:787-640-7145
Mailing Address - Fax:
Practice Address - Street 1:BRISAS DE MONTECASINO
Practice Address - Street 2:CALLLE SIBONEY #522
Practice Address - City:TOA ALTA
Practice Address - State:PR
Practice Address - Zip Code:00953-3800
Practice Address - Country:US
Practice Address - Phone:787-640-7145
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-17
Last Update Date:2011-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR557174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR557OtherLICENCE