# DRA JANITZA R DELGADO MOURA L.L.C.

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

## Provider details

- **NPI number:** 1710437264
- **Authorized official:** DR. JANITZA RAQUEL DELGADO MOURA M.D. (INTERNAL MEDICINE)
- **Authorized official phone:** (787) 342-1710

## Contact information

- **Practice address:** 5 CALLE CONCEPCION, GUAYANILLA, PR 00656-1712
- **Practice address phone:** (787) 835-0261
- **Mailing address:** PO BOX 8097, PONCE, PR 00732-8097
- **Mailing address phone:** (787) 342-1710

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 13299 | PR | Yes |

## Other

- **Enumeration date:** 10/08/2016
- **Last updated:** 10/08/2016
