Provider Demographics
NPI:1194806950
Name:DELGADO, ANA MARIA (MD)
Entity type:Individual
Prefix:MS
First Name:ANA
Middle Name:MARIA
Last Name:DELGADO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3412 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:VICTORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77901-3240
Mailing Address - Country:US
Mailing Address - Phone:361-572-9173
Mailing Address - Fax:361-572-8864
Practice Address - Street 1:3412 N MAIN ST
Practice Address - Street 2:
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77901-3240
Practice Address - Country:US
Practice Address - Phone:361-572-9173
Practice Address - Fax:361-572-8864
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-18
Last Update Date:2020-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ0396207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP000J27R6Medicaid
TXE96168Medicare UPIN
TX00J27RMedicare PIN