Provider Demographics
NPI:1437801214
Name:CASTELVI DELGADO, ANGEL (SA-C)
Entity type:Individual
Prefix:
First Name:ANGEL
Middle Name:
Last Name:CASTELVI DELGADO
Suffix:
Gender:M
Credentials:SA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:255 NW 27TH CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33125-5025
Mailing Address - Country:US
Mailing Address - Phone:786-795-2607
Mailing Address - Fax:
Practice Address - Street 1:255 NW 27TH CT
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33125-5025
Practice Address - Country:US
Practice Address - Phone:786-795-2607
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-22
Last Update Date:2022-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL21-727246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant