Healthcare Provider Details

I. General information

NPI: 1720216146
Provider Name (Legal Business Name): NAIREDIT DELGADO SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/24/2009
Last Update Date: 05/25/2021
Certification Date: 05/25/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8600 SW 92 ST, SUITE 204
MIAMI FL
33156
US

IV. Provider business mailing address

8600 SW 92 ST, SUITE 204
MIAMI FL
33156
US

V. Phone/Fax

Practice location:
  • Phone: 305-279-2428
  • Fax: 305-596-9996
Mailing address:
  • Phone: 305-279-2428
  • Fax: 305-596-9996

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License NumberSI 1665
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSA16876
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: