Individual provider Active NPI

Wandaliz Delgado, LOTA

  • Occupational Therapy Assistant
  • San Lorenzo, PR
National Provider Identifier
1356579544
Registry record updated Jun 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
780 Issued in PR
Practice address
Urb. Los Tamarindos Calle G-6 Calle 4
San Lorenzo, PR 00754-3723
Phone
(787) 715-3334
NPI assigned
Jun 25, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 780 PR Primary

Addresses

Primary practice location

Urb. Los Tamarindos Calle G-6 Calle 4
San Lorenzo, PR 00754-3723

Mailing address

Calle 4 G-6 Urb. Los Tamarindos
San Lorenzo, PR 00754-3723
Phone (787) 362-2412

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
780PRMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1245888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245888000000",
    "number": "1356579544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE 4 G-6 URB. LOS TAMARINDOS",
            "city": "SAN LORENZO",
            "state": "PR",
            "postal_code": "007543723",
            "telephone_number": "787-362-2412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. LOS TAMARINDOS CALLE G-6 CALLE 4",
            "city": "SAN LORENZO",
            "state": "PR",
            "postal_code": "007543723",
            "telephone_number": "787-715-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELGADO",
        "first_name": "WANDALIZ",
        "name_prefix": "Ms.",
        "credential": "LOTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-25",
        "last_updated": "2009-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "PR",
            "license": "780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Lorenzo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.