Provider Demographics
NPI:1932144102
Name:DELGADO-PEREZ, IRMA (MD)
Entity Type:Individual
Prefix:DR
First Name:IRMA
Middle Name:
Last Name:DELGADO-PEREZ
Suffix:
Gender:F
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 667
Mailing Address - Street 2:
Mailing Address - City:CAMUY
Mailing Address - State:PR
Mailing Address - Zip Code:00627-0667
Mailing Address - Country:US
Mailing Address - Phone:787-898-0905
Mailing Address - Fax:
Practice Address - Street 1:CARR. 490 BO. PAJUIL
Practice Address - Street 2:
Practice Address - City:HARILLO
Practice Address - State:PR
Practice Address - Zip Code:00659
Practice Address - Country:US
Practice Address - Phone:787-898-0905
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8314208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRE81960Medicare UPIN
PR82671Medicare ID - Type Unspecified