Provider Demographics
NPI:1699079137
Name:DELGADO, YVETTE RIVERA (RN)
Entity type:Individual
Prefix:MRS
First Name:YVETTE
Middle Name:RIVERA
Last Name:DELGADO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:223 LINDA LOU DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78223-1121
Mailing Address - Country:US
Mailing Address - Phone:210-535-4759
Mailing Address - Fax:
Practice Address - Street 1:223 LINDA LOU DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78223-1121
Practice Address - Country:US
Practice Address - Phone:210-535-4759
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-25
Last Update Date:2010-12-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX784593163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health