Organization Active NPI

Clinica de Linfedema Deliz Bauza LLC

  • Occupational Therapist
  • Ponce, PR
National Provider Identifier
1215810569
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
CLINICA DE LINFEDEMA DELIZ BAUZA LLC
Practice address
472 Edificio Marvesa
Suite 108, Avenida Tito Castro
Ponce, PR 00716
Phone
(787) 232-6510
Fax
(787) 841-7585
NPI assigned
Jul 25, 2025
Last updated
Jul 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Eldra Leticia Deliz, LCDNPI 1265560387
Title
Occupational Therapist
Phone
(787) 232-6510

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X Primary

Addresses

Primary practice location

472 Edificio Marvesa
Suite 108, Avenida Tito Castro
Ponce, PR 00716

Mailing address

609 Avenida Tito Castro
Suite 102 PMB 372
Ponce, PR 00716
Phone (787) 232-6510

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251121003670 PR Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7315439809 Receives reassigned benefits from 1 practitioner
Practice locations: Ponce, PR

National Provider Directory

National Provider Directory

Locations

472 Ave Tito Castro
Ste 108
Ponce, PR 00716
Phone (787) 232-6510

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1753401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753401600000",
    "number": "1215810569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 AVENIDA TITO CASTRO",
            "address_2": "SUITE 102 PMB 372",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00716",
            "telephone_number": "787-232-6510",
            "fax_number": "787-841-7585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "472 EDIFICIO MARVESA",
            "address_2": "SUITE 108, AVENIDA TITO CASTRO",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00716",
            "telephone_number": "787-232-6510",
            "fax_number": "787-841-7585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA DE LINFEDEMA DELIZ BAUZA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-25",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-15",
        "status": "A",
        "authorized_official_last_name": "DELIZ",
        "authorized_official_first_name": "ELDRA",
        "authorized_official_middle_name": "LETICIA",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "787-232-6510",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCD"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.