| Doctor Name: | MR. JUAN EBERTH DELGADO |
| NPI Number: | 1164660254 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.S. LMHC |
| License Number: | MH 7120 |
| Business Practice Address: | 210 172nd St Suite 335 Sunny Isles Beach, FL - 331603439 |
| Business Phone Number: | 7864700200 |
| Business Fax Number: | |
| Mailing Address: | 210 172nd Street, Suite 335 SUNNY ISLES |
| State: | FL |
| Postal Code: | 331602104 |
| Phone Number: | 7864700200 |
| Fax Number: | |
| NPI Enumeration Date: | 01/27/2009 |
| NPI Last Update Date: | 05/10/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | MH 7120 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |