Provider Demographics
NPI:1710716683
Name:EQUIHUA-GALDAMEZ, DELMY RUBID
Entity type:Individual
Prefix:
First Name:DELMY
Middle Name:RUBID
Last Name:EQUIHUA-GALDAMEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:DELMY
Other - Middle Name:RUBID
Other - Last Name:EQUIHUA-GALDAMEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:680 SW 7TH AVE
Mailing Address - Street 2:
Mailing Address - City:FLORIDA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33034-4887
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:680 SW 7TH AVE
Practice Address - Street 2:
Practice Address - City:FLORIDA CITY
Practice Address - State:FL
Practice Address - Zip Code:33034-4887
Practice Address - Country:US
Practice Address - Phone:786-201-5243
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-30
Last Update Date:2024-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11034212363LC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LC0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCritical Care Medicine