Individual provider Active NPI

Eldra Leticia Deliz

  • Occupational Therapist
  • Ponce, PR
National Provider Identifier
1265560387
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0914 Issued in PR
Practice address
472 Edificio Marvesa
Suite 108 Avenida Tito Castro
Ponce, PR 00716
Phone
(787) 232-6510
NPI assigned
Mar 1, 2007
Last updated
Jul 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 0914 PR 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
I20071029000112 PR Practitioner - Occupational Therapist in Private Practice 4385731017 Reassigns benefits to 1 organization
Practice locations: Ponce, PR

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
University of Puerto Rico School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

472 Edificio Marvesa
Suite 108
Ponce, PR 00716-0200
Phone (787) 232-6510

609 Ave Tito Castro
Suite 102
Ponce, PR 00716-0200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
914PRMDGeneral Practice Dentistry
0914PRMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica de Linfedema Deliz Bauza LLC Occupational Therapist CurrentSince Jul 28, 2025 Accepting new patients

Locations

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

609 Ave Tito Castro
Ste 102
Ponce, PR 00716
Phone (787) 259-3316

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1265560387",
    "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELIZ",
        "first_name": "ELDRA",
        "middle_name": "LETICIA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2025-07-01",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PR",
            "license": "0914",
            "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 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.