Provider Demographics
NPI:1013246677
Name:DELGADO, PEDRO (BS)
Entity Type:Individual
Prefix:MR
First Name:PEDRO
Middle Name:
Last Name:DELGADO
Suffix:
Gender:M
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:317 LEXINGTON AVE
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06513-4047
Mailing Address - Country:US
Mailing Address - Phone:203-464-6913
Mailing Address - Fax:
Practice Address - Street 1:317 LEXINGTON AVE
Practice Address - Street 2:2ND FLOOR
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06513-4047
Practice Address - Country:US
Practice Address - Phone:203-464-6913
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-12-10
Last Update Date:2009-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health