MEDICARE: YANSSEL DELGADO DPM

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	213ES0103X	Foot & Ankle Surgery Podiatrist	PO3347	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	65109	OTHER	FL	BCBS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1659543619
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YANSSEL DELGADO DPM

Provider Business Mailing Address
First Line	:	630 E 49TH ST
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33013-1964
Country	:	US
Telephone Number	:	305-819-9240
Fax Number	:	305-819-8241

Provider Business Practice Location Address
First Line	:	630 E 49TH ST
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33013-1964
Country	:	US
Telephone Number	:	305-819-9240
Fax Number	:	305-819-8241

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

Provider Enumeration Date	:	03/31/2008
Last Update Date	:	05/21/2020

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Directions to “ YANSSEL DELGADO DPM” Practice Location

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