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NPI Code Detail

MEDICARE: SAIRA LEAL DELGADO

MEDICARE:   SAIRA  LEAL DELGADO
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1275042780
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAIRA LEAL DELGADO
Provider Business Mailing Address
First Line : 2545 NW 207TH ST APT 203
Second Line :
City : MIAMI GARDENS
State : FL
Zip : 33056-5235
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2545 NW 207TH ST APT 203
Second Line :
City : MIAMI GARDENS
State : FL
Zip : 33056-5235
Country : US
Telephone Number : 786-348-8693
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2017
Last Update Date : 09/27/2017

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Directions to “ SAIRA LEAL DELGADO ” Practice Location

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