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NPI Code Detail

MEDICARE: LETICIA DELGADO P.A.

MEDICARE: LETICIA DELGADO P.A.
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
1363AM0700XMedical Physician AssistantPA-02753TX

General Provider Information

NPI Number : 1861473845
Entity Type Code : Individual
Provider Name (Legal Business Name) : LETICIA DELGADO P.A.
Provider Business Mailing Address
First Line : 6101 BLUE LAGOON DR STE 200
Second Line :
City : MIAMI
State : FL
Zip : 33126-3168
Country : US
Telephone Number : 446-300-7008
Fax Number : 877-374-1924
Provider Business Practice Location Address
First Line : 10435 VISTA DEL SOL DR
Second Line :
City : EL PASO
State : TX
Zip : 79925-7920
Country : US
Telephone Number : 915-217-2117
Fax Number : 915-217-1105
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2005
Last Update Date : 09/19/2023

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Directions to “ LETICIA DELGADO P.A.” Practice Location

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