Healthcare Provider Details

I. General information

NPI: 1639241961
Provider Name (Legal Business Name): ROSA MARIA DELGADO AYALA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/14/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CLINICA INMUNOLOGIA REGIONAL AVE TITO CASTRO # 917
PONCE PR
00731
US

IV. Provider business mailing address

URBANIZACION SAN ANTONIO E-23 CALLE 4
HUMACAO PR
00791-3704
US

V. Phone/Fax

Practice location:
  • Phone: 787-259-4731
  • Fax: 787-259-3998
Mailing address:
  • Phone: 787-285-6973
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number4304
License Number StatePR
# 2
Primary TaxonomyY
Taxonomy Code2080P0208X
TaxonomyPediatric Infectious Diseases Physician
License Number4304
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: