Provider Demographics
NPI:1174254239
Name:ALMA DELIA PROVIDER SERVICES LLC
Entity Type:Organization
Organization Name:ALMA DELIA PROVIDER SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:LUZ
Authorized Official - Last Name:GUERRERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-832-8365
Mailing Address - Street 1:1045 PASADERO DR
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78526-4078
Mailing Address - Country:US
Mailing Address - Phone:956-832-8365
Mailing Address - Fax:956-426-2166
Practice Address - Street 1:1045 PASADERO DR
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78526-4078
Practice Address - Country:US
Practice Address - Phone:956-413-8686
Practice Address - Fax:956-564-4185
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-20
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty