Provider Demographics
NPI:1063473379
Name:DELGADO-ALMENARIO, STELLA MARIS (MD)
Entity Type:Individual
Prefix:DR
First Name:STELLA
Middle Name:MARIS
Last Name:DELGADO-ALMENARIO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2510 WIGWAM PKWY
Mailing Address - Street 2:SUITE 103
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89074-7115
Mailing Address - Country:US
Mailing Address - Phone:702-558-3551
Mailing Address - Fax:702-361-0983
Practice Address - Street 1:2510 WIGWAM PKWY
Practice Address - Street 2:SUITE 103
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89074-7115
Practice Address - Country:US
Practice Address - Phone:702-558-3551
Practice Address - Fax:702-361-0983
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-29
Last Update Date:2012-11-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NV10073208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV100505291Medicaid
NV100506648Medicaid