Provider Demographics
NPI:1942900147
Name:DELGADO LUGO, BELMARI (CPTH, PSYC, MSHA, CM)
Entity Type:Individual
Prefix:
First Name:BELMARI
Middle Name:
Last Name:DELGADO LUGO
Suffix:
Gender:F
Credentials:CPTH, PSYC, MSHA, CM
Other - Prefix:MRS
Other - First Name:BELMARI
Other - Middle Name:
Other - Last Name:DELGADO LUGO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSHA CASE MANAGER,
Mailing Address - Street 1:2266 CASA VERANO WAY APT 103
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34744-5981
Mailing Address - Country:US
Mailing Address - Phone:689-241-2683
Mailing Address - Fax:
Practice Address - Street 1:2266 CASA VERANO WAY APT 103
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34744-5981
Practice Address - Country:US
Practice Address - Phone:689-241-2683
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-06
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No171W00000XOther Service ProvidersContractor
No183700000XPharmacy Service ProvidersPharmacy Technician
No225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Counselor
No251E00000XAgenciesHome Health
No251K00000XAgenciesPublic Health or Welfare
No251S00000XAgenciesCommunity/Behavioral Health
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No305S00000XManaged Care OrganizationsPoint of Service
No376K00000XNursing Service Related ProvidersNurse's Aide