Provider Demographics
NPI:1275234726
Name:DELGADO, NAASIA MIRIAM
Entity Type:Individual
Prefix:
First Name:NAASIA
Middle Name:MIRIAM
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 1:19533 SW 120TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33177-4311
Mailing Address - Country:US
Mailing Address - Phone:786-355-7759
Mailing Address - Fax:
Practice Address - Street 1:19533 SW 120TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33177-4311
Practice Address - Country:US
Practice Address - Phone:786-355-7759
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-13
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician