Provider Demographics
NPI:1558304758
Name:DELGADO-GONZALEZ, CORALIA LETICIA (MD)
Entity Type:Individual
Prefix:DR
First Name:CORALIA
Middle Name:LETICIA
Last Name:DELGADO-GONZALEZ
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Gender:F
Credentials:MD
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Mailing Address - Street 1:F29 CALLE SAN CLEMENTE
Mailing Address - Street 2:NOTRE DAME
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725
Mailing Address - Country:US
Mailing Address - Phone:787-263-7451
Mailing Address - Fax:787-263-9887
Practice Address - Street 1:CARR 735 KM 0.5 EDIFICIO LIBERTY COLLEGE OFICINA 5
Practice Address - Street 2:BO MONTELLANO
Practice Address - City:CAYEY
Practice Address - State:PR
Practice Address - Zip Code:00736
Practice Address - Country:US
Practice Address - Phone:787-263-7451
Practice Address - Fax:787-263-9887
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-14
Last Update Date:2019-03-20
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Provider Licenses
StateLicense IDTaxonomies
PR14864208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice