Lazara Rosali Delgado

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

D423536009030 Issued in FL

Practice address

10354 SW 212TH St Apt 103
Cutler Bay, FL 33189-3087

Phone

(786) 630-5029

NPI assigned

Sep 28, 2021

Last updated

Sep 28, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1134891245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10354 SW 212TH ST APT 103",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331893087",
            "telephone_number": "786-630-5029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10354 SW 212TH ST APT 103",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331893087",
            "telephone_number": "786-630-5029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELGADO",
        "first_name": "LAZARA",
        "middle_name": "ROSALI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-28",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "D423536009030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D423536009030",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leyanis Delgado Diaz, RBT
• Eduardo Delgado Hernandez
• Misley Delgado Santana
• Alicia Michele Delgado, OTR/L
• Gema Delgado
• Luis Delgado
• Laura K Demers, PT
• Shanel Renee Demus, RN, MSN, PMHNP-BC
• Denise C Kufeldt PA
• Tia L. Dennis, M.S. CCC-SLP

• Behavior Technician in Cutler Bay, FL
• Providers in Cutler Bay, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.