Provider Demographics
NPI:1982804100
Name:DELGADO, CARMEN I (PHARMACY TECHNICIAN)
Entity Type:Individual
Prefix:
First Name:CARMEN
Middle Name:I
Last Name:DELGADO
Suffix:
Gender:F
Credentials:PHARMACY TECHNICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1103 CALLE LUIS CORDOVA CHIRINO
Mailing Address - Street 2:COUNTRY CLUB
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00924-2466
Mailing Address - Country:US
Mailing Address - Phone:787-478-3888
Mailing Address - Fax:787-762-4070
Practice Address - Street 1:1103 CALLE LUIS CORDOVA CHIRINO
Practice Address - Street 2:COUNTRY CLUB
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00924-2466
Practice Address - Country:US
Practice Address - Phone:787-478-3888
Practice Address - Fax:787-762-4070
Is Sole Proprietor?:No
Enumeration Date:2007-07-25
Last Update Date:2007-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3043183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician