Provider Demographics
NPI:1861256794
Name:DELGADO ESPERON, JAIMEL
Entity type:Individual
Prefix:
First Name:JAIMEL
Middle Name:
Last Name:DELGADO ESPERON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8650 SW 133RD AVENUE RD APT 321
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33183-5328
Mailing Address - Country:US
Mailing Address - Phone:786-754-3654
Mailing Address - Fax:
Practice Address - Street 1:8650 SW 133RD AVENUE RD APT 321
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33183-5328
Practice Address - Country:US
Practice Address - Phone:786-754-3654
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-12
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-24326913106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician