Individual ProviderMarisel Vazquez DelgadoGeneral PracticeAllopathic & Osteopathic PhysiciansPractice Address800 Carr 189, Caminito Alto Apt 142, Gurabo, PR 00778(939) 308-0623PECOS EnrollmentBased on the most recent information from CMS, provider Marisel Vazquez Delgado is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1265014328Provider TypeIndividualFull NameVazquez Delgado, MariselGenderFemaleSole ProprietorNoEnumeration Date4/27/2021Last Updated2/9/2024Contact InformationPractice LocationPractice Address800 Carr 189, Caminito Alto Apt 142, Gurabo, PR 00778Phone(939) 308-0623FaxUnlisted FaxMailing LocationMailing AddressCaminito Alto Apt 142, 800 Carr 189, Gurabo, PR 00778Phone(939) 308-0623FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode208D00000XPrimaryDescriptionGeneral PracticeAllopathic & Osteopathic PhysiciansLicense23417Puerto RicoCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer