Active NPI
Gilebrto Ted Deleon Jr.
- Other Technician
- Saginaw, MI
National Provider Identifier
1801324926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- Practice address
- 1300 N Michigan Ave
Saginaw, MI 48602-4732 - Phone
- (989) 401-9033
- NPI assigned
- Jun 2, 2017
- Last updated
- Jun 2, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | Primary |
Addresses
Primary practice location
1300 N Michigan Ave
Saginaw, MI 48602-4732
Mailing address
3463 Deep River Rd
Standish, MI 48658-9407
Phone (989) 846-9631
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bay Human Services Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Illness Community Based Residential Treatment Facility
- Standish, MI
- NPI 1114775442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1496361600000",
"number": "1801324926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3463 DEEP RIVER RD",
"city": "STANDISH",
"state": "MI",
"postal_code": "486589407",
"telephone_number": "989-846-9631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 N MICHIGAN AVE",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486024732",
"telephone_number": "989-401-9033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELEON",
"first_name": "GILEBRTO",
"middle_name": "TED",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-02",
"last_updated": "2017-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saginaw, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.