Provider Demographics
NPI:1134008733
Name:ALAVARADO DELGADO, NICOLE MARIE (PSY D)
Entity type:Individual
Prefix:
First Name:NICOLE
Middle Name:MARIE
Last Name:ALAVARADO DELGADO
Suffix:
Gender:F
Credentials:PSY D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB VILLA MADRID
Mailing Address - Street 2:CALLE 9 LL1
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00769
Mailing Address - Country:US
Mailing Address - Phone:787-709-0391
Mailing Address - Fax:
Practice Address - Street 1:URB GLENVIEW GARDENS
Practice Address - Street 2:F2 CALLE ESTADIA MARGINAL
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00730-1779
Practice Address - Country:US
Practice Address - Phone:787-546-5315
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-28
Last Update Date:2025-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8337103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical