Provider Demographics
NPI:1659078608
Name:RODRIGUEZ DELGADO, ARLETTE MERCEDES
Entity Type:Individual
Prefix:
First Name:ARLETTE
Middle Name:MERCEDES
Last Name:RODRIGUEZ 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 1:2722 WILD CACTUS CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89156-7577
Mailing Address - Country:US
Mailing Address - Phone:702-401-2111
Mailing Address - Fax:
Practice Address - Street 1:1051 WHITWORTH AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89148-5348
Practice Address - Country:US
Practice Address - Phone:702-401-2111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-10
Last Update Date:2023-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV20222613201Medicaid