Provider Demographics
NPI:1346729647
Name:DELGADO RIVERA, EDUARDO C (MD)
Entity Type:Individual
Prefix:DR
First Name:EDUARDO
Middle Name:C
Last Name:DELGADO RIVERA
Suffix:
Gender:M
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:PO BOX 50172
Mailing Address - Street 2:
Mailing Address - City:TOA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00950-0172
Mailing Address - Country:US
Mailing Address - Phone:787-528-9387
Mailing Address - Fax:
Practice Address - Street 1:DOCTORS CENTER ORLANDO HEALTH DORADO
Practice Address - Street 2:CARR. 696
Practice Address - City:DORADO
Practice Address - State:PR
Practice Address - Zip Code:00646
Practice Address - Country:US
Practice Address - Phone:787-528-9387
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-08
Last Update Date:2023-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR21050208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice