Provider Demographics
NPI:1548949563
Name:SOTO-DELGADO, ALBA ROCIO
Entity type:Individual
Prefix:
First Name:ALBA
Middle Name:ROCIO
Last Name:SOTO-DELGADO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4470 SPANISH TRL APT 69E
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32504-4906
Mailing Address - Country:US
Mailing Address - Phone:352-235-4026
Mailing Address - Fax:
Practice Address - Street 1:4470 SPANISH TRL APT 69E
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32504-4906
Practice Address - Country:US
Practice Address - Phone:352-235-4026
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-17
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist