Provider Demographics
NPI:1770338931
Name:DELGADO TAMARIZ, CELIA ALEJANDRA
Entity type:Individual
Prefix:
First Name:CELIA
Middle Name:ALEJANDRA
Last Name:DELGADO TAMARIZ
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 1:724 CALLE ESTANCIA
Mailing Address - Street 2:
Mailing Address - City:HORMIGUEROS
Mailing Address - State:PR
Mailing Address - Zip Code:00660-9604
Mailing Address - Country:US
Mailing Address - Phone:787-321-0687
Mailing Address - Fax:
Practice Address - Street 1:724 CALLE ESTANCIA
Practice Address - Street 2:
Practice Address - City:HORMIGUEROS
Practice Address - State:PR
Practice Address - Zip Code:00660-9604
Practice Address - Country:US
Practice Address - Phone:787-321-0687
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-22
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program