Provider Demographics
NPI:1568904993
Name:DELGADO MOSTEIRO, ALEIDA G
Entity Type:Individual
Prefix:
First Name:ALEIDA
Middle Name:G
Last Name:DELGADO MOSTEIRO
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 1:1797 W 1ST AVE
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33010-2623
Mailing Address - Country:US
Mailing Address - Phone:786-973-2450
Mailing Address - Fax:305-901-1797
Practice Address - Street 1:1797 W 1ST AVE
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33010-2623
Practice Address - Country:US
Practice Address - Phone:786-973-2450
Practice Address - Fax:305-901-1797
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-16
Last Update Date:2016-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician