Provider Demographics
NPI:1942410790
Name:LARRAURI, DELIA MERCEDES (MD)
Entity Type:Individual
Prefix:
First Name:DELIA
Middle Name:MERCEDES
Last Name:LARRAURI
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 1:7500 CENTRAL AVE STE 203
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19111-2432
Mailing Address - Country:US
Mailing Address - Phone:215-289-4434
Mailing Address - Fax:
Practice Address - Street 1:7500 CENTRAL AVE STE 203
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19111-2432
Practice Address - Country:US
Practice Address - Phone:215-289-4434
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2018-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD442280207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology