Provider Demographics
NPI:1659948107
Name:DELGADO, PRISCILLA LUNA (RD, LD)
Entity Type:Individual
Prefix:MRS
First Name:PRISCILLA
Middle Name:LUNA
Last Name:DELGADO
Suffix:
Gender:F
Credentials:RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6703 CHESAI RNCH
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78249-4576
Mailing Address - Country:US
Mailing Address - Phone:210-273-0185
Mailing Address - Fax:
Practice Address - Street 1:6703 CHESAI RNCH
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78249-4576
Practice Address - Country:US
Practice Address - Phone:210-273-0185
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-04
Last Update Date:2021-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT84025133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered