Healthcare Provider Details

I. General information

NPI: 1851069280
Provider Name (Legal Business Name): DAYANA DELGADO GARCIA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2021
Last Update Date: 09/23/2021
Certification Date: 09/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

654 NE 9TH PL
HOMESTEAD FL
33030-4934
US

IV. Provider business mailing address

10906 SW 239TH TER
HOMESTEAD FL
33032-6244
US

V. Phone/Fax

Practice location:
  • Phone: 305-248-3488
  • Fax:
Mailing address:
  • Phone: 561-283-6295
  • 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: