MEDICARE: DR. NORMA VANESSA DELGADO BUTHER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RP1001X	Pulmonary Disease Physician	14778	PR

General Provider Information

NPI Number	:	1962420786
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NORMA VANESSA DELGADO BUTHER MD

Provider Business Mailing Address
First Line	:	PO BOX 6022
Second Line	:	PMB 368
City	:	CAROLINA
State	:	PR
Zip	:	00984
Country	:	US
Telephone Number	:	787-721-6883
Fax Number	:	787-723-3808

Provider Business Practice Location Address
First Line	:	ASHFORD AVENUE WASHINGTON #29
Second Line	:	SUITE 403
City	:	SAN JUAN
State	:	PR
Zip	:	00907-1521
Country	:	US
Telephone Number	:	787-721-6883
Fax Number	:	787-723-3808

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/18/2006
Last Update Date	:	07/08/2007

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