Provider Demographics
NPI:1811768724
Name:DELGADO DE SOLORIO, ROCIO (CNA)
Entity type:Individual
Prefix:
First Name:ROCIO
Middle Name:
Last Name:DELGADO DE SOLORIO
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4627 S 179TH DR
Mailing Address - Street 2:
Mailing Address - City:GOODYEAR
Mailing Address - State:AZ
Mailing Address - Zip Code:85338-5953
Mailing Address - Country:US
Mailing Address - Phone:623-986-1239
Mailing Address - Fax:
Practice Address - Street 1:4627 S 179TH DR
Practice Address - Street 2:
Practice Address - City:GOODYEAR
Practice Address - State:AZ
Practice Address - Zip Code:85338-5953
Practice Address - Country:US
Practice Address - Phone:623-986-1239
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-10
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ300724251E00000X, 251J00000X, 253Z00000X, 385H00000X, 376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide
No251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care
No385H00000XRespite Care FacilityRespite Care