Provider Demographics
NPI:1790553683
Name:DELGADO, CINTHIA DAMARI
Entity Type:Individual
Prefix:
First Name:CINTHIA
Middle Name:DAMARI
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 1:20219 SW 85TH PL
Mailing Address - Street 2:
Mailing Address - City:CUTLER BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33189-2524
Mailing Address - Country:US
Mailing Address - Phone:786-405-5817
Mailing Address - Fax:786-405-5817
Practice Address - Street 1:9299 SW 152ND ST STE 206-207
Practice Address - Street 2:
Practice Address - City:PALMETTO BAY
Practice Address - State:FL
Practice Address - Zip Code:33157-1737
Practice Address - Country:US
Practice Address - Phone:786-701-9211
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-19
Last Update Date:2023-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLF11230368363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty