MEDICARE: VICTOR RUBEN DELGADO LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	9911	NY
2	104100000X	Social Worker	060622	NY

General Provider Information

NPI Number	:	1184873846
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VICTOR RUBEN DELGADO LCSW

Provider Business Mailing Address
First Line	:	50 MENORES AVENUE
Second Line	:	UNIT 729
City	:	CORAL GABLES
State	:	FL
Zip	:	33134
Country	:	US
Telephone Number	:	917-699-6563
Fax Number	:

Provider Business Practice Location Address
First Line	:	2825 THIRD AVENUE
Second Line	:	SUITE 402
City	:	BRONX
State	:	NY
Zip	:	10455
Country	:	US
Telephone Number	:	917-699-6563
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/17/2008
Last Update Date	:	03/12/2026

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