Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 15131 | PR |
NPI | 1023068467 |
---|---|
Provider Name | Dr. Brenda L. Deliz |
First Address | San Juan, PR 00927-0134 |
Second Address | Rio Piedras, PR 00921-5199 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2006 |
Last Update Date | 22/10/2013 |