Healthcare Provider Details

I. General information

NPI: 1902429236
Provider Name (Legal Business Name): KATHERIN DELGADO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/21/2020
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18942 NW 57TH AVE APT 103
HIALEAH FL
33015-7068
US

IV. Provider business mailing address

18942 NW 57TH AVE APT 103
HIALEAH FL
33015-7068
US

V. Phone/Fax

Practice location:
  • Phone: 786-337-3066
  • Fax:
Mailing address:
  • Phone: 786-337-3066
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: