Healthcare Provider Details

I. General information

NPI: 1174253249
Provider Name (Legal Business Name): JOSHUA ORTIZ-DELGADO DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/13/2022
Last Update Date: 05/09/2023
Certification Date: 05/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

777 E 25TH ST
HIALEAH FL
33013-3825
US

IV. Provider business mailing address

221 SW 12TH ST APT 721
MIAMI FL
33130-4568
US

V. Phone/Fax

Practice location:
  • Phone: 305-469-6463
  • Fax:
Mailing address:
  • Phone: 754-777-8659
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number5507
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: