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General NPI Number Information
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NPI Number | 1558304758
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Entity Type | Individual
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Provider Name | CORALIA LETICIA DELGADO-GONZALEZ M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/14/2006
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Last Update Date | 03/20/2019
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Provider Practice Location Address
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Address Line | CARR 735 KM 0.5 EDIFICIO LIBERTY COLLEGE OFICINA 5 BO MONTELLANO
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City | CAYEY
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State | PR
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Zip | 00736
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Country | US
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Telephone | 787-263-7451
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Fax | 787-263-9887
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Provider Business Mailing Address
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Address Line | F29 CALLE SAN CLEMENTE NOTRE DAME
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City | CAGUAS
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State | PR
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Zip | 00725
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Country | US
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Telephone | 787-263-7451
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Fax | 787-263-9887
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 14864
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License Number State | PR
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