Provider Demographics
NPI:1508604190
Name:DELGADO, CRISTINA DOLORES
Entity type:Individual
Prefix:
First Name:CRISTINA
Middle Name:DOLORES
Last Name:DELGADO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:421 E MARKET ST APT 333
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46204-2864
Mailing Address - Country:US
Mailing Address - Phone:786-350-6536
Mailing Address - Fax:
Practice Address - Street 1:421 E MARKET ST APT 333
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46204-2864
Practice Address - Country:US
Practice Address - Phone:786-350-6536
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-17
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program