Provider Demographics
NPI:1558429456
Name:DELERME, MARILYN (DC)
Entity Type:Individual
Prefix:DR
First Name:MARILYN
Middle Name:
Last Name:DELERME
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1498 AVE FD ROOSEVELT
Mailing Address - Street 2:SUITE 211
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00968-2736
Mailing Address - Country:US
Mailing Address - Phone:787-705-7800
Mailing Address - Fax:787-705-7880
Practice Address - Street 1:1498 AVE FD ROOSEVELT
Practice Address - Street 2:SUITE 211
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00968-2736
Practice Address - Country:US
Practice Address - Phone:678-520-4708
Practice Address - Fax:787-705-7880
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-04
Last Update Date:2021-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA006480111N00000X
PR00346111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA35ZCGLCMedicare ID - Type Unspecified
GAU86068Medicare UPIN