Provider Demographics
NPI:1386343390
Name:YANSSEL DELGADO DPM PA
Entity type:Organization
Organization Name:YANSSEL DELGADO DPM PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YANSSEL
Authorized Official - Middle Name:
Authorized Official - Last Name:DELGADO
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:305-819-9240
Mailing Address - Street 1:630 E 49TH ST
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33013-1964
Mailing Address - Country:US
Mailing Address - Phone:305-819-9240
Mailing Address - Fax:305-819-9241
Practice Address - Street 1:630 E 49TH ST
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33013-1964
Practice Address - Country:US
Practice Address - Phone:305-819-9240
Practice Address - Fax:305-819-9241
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-28
Last Update Date:2023-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty