Provider Demographics
NPI:1073395026
Name:DELGADO GARCELL, RAFAEL ERNESTO (APRN)
Entity Type:Individual
Prefix:MR
First Name:RAFAEL
Middle Name:ERNESTO
Last Name:DELGADO GARCELL
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11000 SAND PIPER CT
Mailing Address - Street 2:
Mailing Address - City:TAMARAC
Mailing Address - State:FL
Mailing Address - Zip Code:33321-8853
Mailing Address - Country:US
Mailing Address - Phone:619-493-9685
Mailing Address - Fax:
Practice Address - Street 1:11000 SAND PIPER CT
Practice Address - Street 2:
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33321-8853
Practice Address - Country:US
Practice Address - Phone:619-493-9685
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-16
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11028452363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily