Most Relevant Information
Provider Data
| NPI Number: | 1003684333 |
| Provider Name: | JOSE R DELGADO RUIZ |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: | 0102675 |
Most Important Dates
| Enumeration Date: | 12/15/2023 |
| Last Updated: | 12/15/2023 |
Provider Practice Location
12595 SW 137TH AVE STE 110
MIAMI
FL
331864218
Practice Location Phone/Fax
| Phone: | 3054659379 |
| Fax: |
Provider Mailing Location
1445 W 41ST ST APT C
HIALEAH
FL
330125923
Provider Mailing Phone/Fax
| Phone: | 3054659379 |
| Fax: |