Provider Demographics
NPI:1699396341
Name:DELGADO RODRIGUEZ, LEYSHLA ROBETSY (MSW)
Entity Type:Individual
Prefix:
First Name:LEYSHLA
Middle Name:ROBETSY
Last Name:DELGADO RODRIGUEZ
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB. PARK GARDENS
Mailing Address - Street 2:CALLE TRIANON A43
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926
Mailing Address - Country:US
Mailing Address - Phone:787-218-9588
Mailing Address - Fax:
Practice Address - Street 1:CALLE CECILIA DOMINGUEZ #11 ESTE
Practice Address - Street 2:
Practice Address - City:GUAYAMA
Practice Address - State:PR
Practice Address - Zip Code:00784
Practice Address - Country:US
Practice Address - Phone:787-318-2504
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-05
Last Update Date:2020-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
14508104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker