Provider Demographics
NPI:1144671595
Name:DELGADO PACHECO, LORENIA (MD)
Entity type:Individual
Prefix:
First Name:LORENIA
Middle Name:
Last Name:DELGADO PACHECO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:E7 CALLE PADRE ALFREDO VALLINA
Mailing Address - Street 2:URB COSTA SUR
Mailing Address - City:YAUCO
Mailing Address - State:PR
Mailing Address - Zip Code:00698-4571
Mailing Address - Country:US
Mailing Address - Phone:787-630-6206
Mailing Address - Fax:
Practice Address - Street 1:E7 CALLE PADRE ALFREDO VALLINA
Practice Address - Street 2:URB COSTA SUR
Practice Address - City:YAUCO
Practice Address - State:PR
Practice Address - Zip Code:00698-4571
Practice Address - Country:US
Practice Address - Phone:787-630-6206
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-27
Last Update Date:2016-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR19382208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice