Provider Demographics
NPI:1770928996
Name:DELGADO, YESENIA (MT)
Entity type:Individual
Prefix:MRS
First Name:YESENIA
Middle Name:
Last Name:DELGADO
Suffix:
Gender:F
Credentials:MT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 275
Mailing Address - Street 2:
Mailing Address - City:CIALES
Mailing Address - State:PR
Mailing Address - Zip Code:00638-0275
Mailing Address - Country:US
Mailing Address - Phone:787-475-8209
Mailing Address - Fax:
Practice Address - Street 1:STREET 149 KM 22.6
Practice Address - Street 2:
Practice Address - City:CIALES
Practice Address - State:PR
Practice Address - Zip Code:00638-0275
Practice Address - Country:US
Practice Address - Phone:787-475-8209
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-01
Last Update Date:2013-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6498246QM0706X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246QM0706XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyMedical Technologist