Provider Demographics
NPI:1912702044
Name:DELGADO, SANDRA MARGARITA
Entity type:Individual
Prefix:
First Name:SANDRA
Middle Name:MARGARITA
Last Name:DELGADO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5075 SPYGLASS HILL DR UNIT 248
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89142-2776
Mailing Address - Country:US
Mailing Address - Phone:786-357-6193
Mailing Address - Fax:
Practice Address - Street 1:5075 SPYGLASS HILL DR UNIT 248
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89142-2776
Practice Address - Country:US
Practice Address - Phone:786-357-6193
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-13
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant