Provider Demographics
NPI:1952571267
Name:DELGADO, MARIA A (PSYD)
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:A
Last Name:DELGADO
Suffix:
Gender:F
Credentials:PSYD
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 1792
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00613-1792
Mailing Address - Country:US
Mailing Address - Phone:939-642-3124
Mailing Address - Fax:787-816-0018
Practice Address - Street 1:158 CALLE MARIANO VIDAL
Practice Address - Street 2:EDIF. SANTIAGO CABAN
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612
Practice Address - Country:US
Practice Address - Phone:787-641-0774
Practice Address - Fax:787-641-0776
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-04
Last Update Date:2009-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2966103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical