Provider Demographics
NPI:1780996884
Name:DELGADO VILLALTA, SILVIA MARIA DEL ROCIO (MD)
Entity type:Individual
Prefix:DR
First Name:SILVIA
Middle Name:MARIA DEL ROCIO
Last Name:DELGADO VILLALTA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:PO BOX 100296
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32610-0296
Mailing Address - Country:US
Mailing Address - Phone:352-273-8379
Mailing Address - Fax:352-294-8098
Practice Address - Street 1:1600 SW ARCHER RD
Practice Address - Street 2:BOX 100296
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32610-0296
Practice Address - Country:US
Practice Address - Phone:352-273-8379
Practice Address - Fax:352-294-8098
Is Sole Proprietor?:No
Enumeration Date:2010-07-06
Last Update Date:2015-11-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
DCMD038673208000000X
MDD76041208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD338723200Medicaid
FL015588400Medicaid
MD338723200Medicaid