Provider Demographics
NPI:1649254657
Name:DELGADO RODRIGUEZ, AUREA L (MD)
Entity type:Individual
Prefix:MRS
First Name:AUREA
Middle Name:L
Last Name:DELGADO RODRIGUEZ
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:VIA PARIS LE89 LA ANTIGUA URB ENCANTADA
Mailing Address - Street 2:
Mailing Address - City:TRUJILLO ALTO
Mailing Address - State:PR
Mailing Address - Zip Code:00976
Mailing Address - Country:US
Mailing Address - Phone:787-293-0580
Mailing Address - Fax:787-293-0589
Practice Address - Street 1:19 CALLE ACUARIO
Practice Address - Street 2:SUITE 4 PLAZA VANUS GARDENS
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-4902
Practice Address - Country:US
Practice Address - Phone:787-293-0580
Practice Address - Fax:787-293-0589
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-02
Last Update Date:2010-09-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR13332207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR21549Medicare ID - Type Unspecified