Provider Demographics
NPI:1275272858
Name:DELGADO SOLA, JOSE JAVIER
Entity Type:Individual
Prefix:MR
First Name:JOSE
Middle Name:JAVIER
Last Name:DELGADO SOLA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 7 BOX 34699
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00727-9381
Mailing Address - Country:US
Mailing Address - Phone:787-324-8526
Mailing Address - Fax:
Practice Address - Street 1:CARR 156 R777 K4H1 BO. CAGUITAS SECTOR ALMENAS 00703
Practice Address - Street 2:
Practice Address - City:AGUAS BUENAS
Practice Address - State:PR
Practice Address - Zip Code:00703-9381
Practice Address - Country:US
Practice Address - Phone:787-324-8526
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-01
Last Update Date:2022-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2238892343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)