MEDICARE: YANSSEL DELGADO DPM PA

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	207XX0004X	Orthopaedic Foot and Ankle Surgery Physician	PO3347	FL
2	213ES0103X	Foot & Ankle Surgery Podiatrist

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

General Provider Information

NPI Number	:	1881857100
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YANSSEL DELGADO DPM PA

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	:	305-819-9241

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	:	305-819-9241

Authorized Official
Title or Position	:	PRESIDENT
Name	:	YANSSEL DELGADO
Credential	:	DPM
Telephone Number	:	305-819-9240

Provider Enumeration Date	:	07/07/2008
Last Update Date	:	02/28/2023

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33013-1964

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Practice Fax: 305-819-8241

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