Provider Demographics
NPI:1225168388
Name:DELGADO, MARIA J
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:J
Last Name:DELGADO
Suffix:
Gender:F
Credentials:
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 271
Mailing Address - Street 2:
Mailing Address - City:PUERTO REAL
Mailing Address - State:PR
Mailing Address - Zip Code:00740
Mailing Address - Country:US
Mailing Address - Phone:787-863-0610
Mailing Address - Fax:787-863-5207
Practice Address - Street 1:CALLE MUNOZ RIVERA #2
Practice Address - Street 2:FARMACIA EMANUELLE INC
Practice Address - City:FAJARDO
Practice Address - State:PR
Practice Address - Zip Code:00738-0925
Practice Address - Country:US
Practice Address - Phone:787-863-0610
Practice Address - Fax:787-863-5207
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1591183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician