Mabel Linairis Peregrin Delgado

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401420176 Issued in VA

Practice address

22901 Millcreek Blvd Ste 200
Beachwood, OH 44122-5701

Phone

(786) 290-8195

Fax

(786) 866-2801

NPI assigned

Sep 18, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bridge for the Life Health Service LLC

  • Behavior Analyst
  • Fort Myers, FL
  • NPI 1659046647
  NPD Authorized official
• Bridge for the Life Health Service LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Miami, FL
  • NPI 1497420491
  NPD

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

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1801674338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 ERIEVIEW PLZ APT 1123",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441141904",
            "telephone_number": "786-290-8195",
            "fax_number": "786-866-2801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22901 MILLCREEK BLVD STE 200",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225701",
            "telephone_number": "786-290-8195",
            "fax_number": "786-866-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREGRIN DELGADO",
        "first_name": "MABEL",
        "middle_name": "LINAIRIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-18",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": "RES004909",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401420176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott D. Pendergast, M.D.
• Laura Nikole Erskine Penix, AGACNP
• Emily E Pensky, LISW
• Alyssa Perchinske, APRN-CNP
• Amanda Perdomo
• Marina Perelman, PHARMD
• Anastasiya Pereskokova, AGNP
• Laura Antonieta Perez Troisi
• James Charles Perhavec, D.D.S.
• Stacy Lynn Perretti, LPCC

• General Practice Dentistry in Beachwood, OH
• Providers in Beachwood, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.