Healthcare Provider Details

I. General information

NPI: 1518875426
Provider Name (Legal Business Name): LAURA I. DELGADO-CORDERO ND
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

69 CALLE BRILLANTE # F-1
GURABO PR
00778-9011
US

IV. Provider business mailing address

PO BOX 659
UTUADO PR
00641-0659
US

V. Phone/Fax

Practice location:
  • Phone: 939-717-4188
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number127
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: