Provider Demographics
NPI:1982360145
Name:CABAN DELGADO, DIEGO (DC)
Entity Type:Individual
Prefix:DR
First Name:DIEGO
Middle Name:
Last Name:CABAN DELGADO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2400 QUANTUM LAKES DR APT 104
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33426-8447
Mailing Address - Country:US
Mailing Address - Phone:754-267-7107
Mailing Address - Fax:
Practice Address - Street 1:1907 N ANDREWS AVE
Practice Address - Street 2:
Practice Address - City:WILTON MANORS
Practice Address - State:FL
Practice Address - Zip Code:33311-3914
Practice Address - Country:US
Practice Address - Phone:954-567-1924
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-11
Last Update Date:2021-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH13784111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor