Provider Demographics
NPI:1659995439
Name:DELGADO LORENZO, ASIA ELIZABETH (MD)
Entity Type:Individual
Prefix:DR
First Name:ASIA
Middle Name:ELIZABETH
Last Name:DELGADO LORENZO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 2411
Mailing Address - Street 2:
Mailing Address - City:GUAYAMA
Mailing Address - State:PR
Mailing Address - Zip Code:00785-2411
Mailing Address - Country:US
Mailing Address - Phone:787-241-9118
Mailing Address - Fax:787-864-0400
Practice Address - Street 1:#128 AVE. ASHFORD, EDIF. ASHFORD MEDICAL PLAZA
Practice Address - Street 2:SUITE 201
Practice Address - City:GUAYAMA
Practice Address - State:PR
Practice Address - Zip Code:00784
Practice Address - Country:US
Practice Address - Phone:787-241-9118
Practice Address - Fax:787-864-0400
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-08
Last Update Date:2020-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR070-PA363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR070-PAOtherTEM