Healthcare Provider Details

I. General information

NPI: 1265391833
Provider Name (Legal Business Name): TANIA J DELGADO GARCIA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/20/2026
Last Update Date: 01/20/2026
Certification Date: 01/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BO MAGUEYES CARR 140KM 63.4
BARCELONETA PR
00617
US

IV. Provider business mailing address

PO BOX 1168
HATILLO PR
00659-1168
US

V. Phone/Fax

Practice location:
  • Phone: 787-846-7100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number8121
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: