Provider Demographics
NPI:1083593446
Name:DELGADO RIVERA, JOAN MARIE (DR)
Entity type:Individual
Prefix:DR
First Name:JOAN
Middle Name:MARIE
Last Name:DELGADO RIVERA
Suffix:
Gender:F
Credentials:DR
Other - Prefix:DR
Other - First Name:JOAN
Other - Middle Name:M
Other - Last Name:DELGADO RIVERA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DR
Mailing Address - Street 1:PO BOX 371925
Mailing Address - Street 2:
Mailing Address - City:CAYEY
Mailing Address - State:PR
Mailing Address - Zip Code:00737-1925
Mailing Address - Country:US
Mailing Address - Phone:787-447-8593
Mailing Address - Fax:
Practice Address - Street 1:CARR 1 PARQUE INDUSTRIAL VILLA BLANCA
Practice Address - Street 2:EDIFICIO PLAZA BAIROA LOCAL 135
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:787-407-4814
Practice Address - Fax:787-258-8225
Is Sole Proprietor?:No
Enumeration Date:2025-08-29
Last Update Date:2025-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8139103G00000X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist