Delgado, Ivanelsie

Delgado, Ivanelsie is an sole proprietor health care provider with primary practice located at 161 Sw Palm Dr Apt 161 , Port St Lucie FL 34986-1796. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is her primary health care specialty. Delgado, Ivanelsie can be contacted via phone (305) 726-5502.

Contact Information

Primary practice address
161 Sw Palm Dr Apt 161 Port St Lucie FL 34986-1796
Phone: (305) 726-5502
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X ME112280 Florida
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME112280 Florida

Profile Details

NPI number 1063615516
LBN Legal business name Delgado, Ivanelsie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 11th, 2007
Last updated Nov 8th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063615516 NPPES
Florida MEDICAID 004791700

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