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Contact Information

DERRICK DELGADO, PTA
5312 RIO BRAVO DR STE 7
SANTA TERESA, NM88008-9210
 Phone: 575-201-3726
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy

261QP2000X
 

Physical Therapy Assistant

225200000X
Indicates primary specialty

NPI Profile & details for DERRICK DELGADO · (Male)

NPI Number 1639522964
Status Active
Credentials PTA (Physical Therapist Assistant)
Entity Individual
Enumeration date 07/21/2016
Last updated 10/19/2025 - About 8 months ago
Sole proprietor 1 Yes
Identifiers
  • NM License # PTA1723
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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