Provider Demographics
NPI:1881931426
Name:DELRIO, ESMERALDA
Entity type:Individual
Prefix:
First Name:ESMERALDA
Middle Name:
Last Name:DELRIO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ESMERALDA
Other - Middle Name:
Other - Last Name:DELRIO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:HC 7 BOX 32544
Mailing Address - Street 2:
Mailing Address - City:HATILLO
Mailing Address - State:PR
Mailing Address - Zip Code:00659-9602
Mailing Address - Country:US
Mailing Address - Phone:787-613-9225
Mailing Address - Fax:
Practice Address - Street 1:CARR. #2 KM 96.8
Practice Address - Street 2:BARRIO LOS COCOS
Practice Address - City:QUEBRADILLAS
Practice Address - State:PR
Practice Address - Zip Code:00678
Practice Address - Country:US
Practice Address - Phone:787-895-1111
Practice Address - Fax:787-895-1111
Is Sole Proprietor?:No
Enumeration Date:2013-01-15
Last Update Date:2013-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR004577103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling