# CLINICA DE LINFEDEMA DELIZ BAUZA LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215810569
- **Authorized official:** MRS. ELDRA LETICIA DELIZ LCD (OCCUPATIONAL THERAPIST)
- **Authorized official phone:** (787) 232-6510

## Contact information

- **Practice address:** 472 EDIFICIO MARVESA, SUITE 108, AVENIDA TITO CASTRO, PONCE, PR 00716
- **Practice address phone:** (787) 232-6510
- **Practice address fax:** (787) 841-7585
- **Mailing address:** 609 AVENIDA TITO CASTRO, SUITE 102 PMB 372, PONCE, PR 00716
- **Mailing address phone:** (787) 232-6510
- **Mailing address fax:** (787) 841-7585

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | — | NULL | Yes |
| 225X00000X | Occupational Therapist | — | — | Yes |

## Other

- **Enumeration date:** 07/25/2025
- **Last updated:** 07/25/2025