Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | RES.004245 | OH |
Y | 213EG0000X | General Practice | RES.004245 | OH |
NPI | 1003431818 |
---|---|
Provider Name | Dr. Ariel Delgado |
First Address | Cleveland, OH 44128-2173 |
Second Address | Cleveland, OH 44128-2173 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2020 |
Last Update Date | 08/06/2020 |