Provider Demographics
NPI:1255456166
Name:DELGADO, ROBERTO (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERTO
Middle Name:
Last Name:DELGADO
Suffix:
Gender:M
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:PLAZA 9 SB 8
Mailing Address - Street 2:MANSION DEL SUR
Mailing Address - City:TOA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00949-4819
Mailing Address - Country:US
Mailing Address - Phone:787-774-0811
Mailing Address - Fax:787-793-1231
Practice Address - Street 1:PLAZA 9 SB 8
Practice Address - Street 2:MANSION DEL SUR
Practice Address - City:TOA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00949-4819
Practice Address - Country:US
Practice Address - Phone:787-774-0811
Practice Address - Fax:787-793-1231
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6759174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist