Provider Demographics
NPI:1730243981
Name:RODRIGUEZ-DELGADO, IRIS E (MD)
Entity type:Individual
Prefix:DR
First Name:IRIS
Middle Name:E
Last Name:RODRIGUEZ-DELGADO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6017
Mailing Address - Street 2:
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00984-6017
Mailing Address - Country:US
Mailing Address - Phone:787-220-0174
Mailing Address - Fax:786-221-3898
Practice Address - Street 1:1509 AVE FD ROOSEVELT STE 310
Practice Address - Street 2:
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00968-2706
Practice Address - Country:US
Practice Address - Phone:787-705-8666
Practice Address - Fax:786-221-3898
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-21
Last Update Date:2018-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR139022084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR22568OtherTRIPLE S