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MARIO A DELGADO MD PA NPI 1154525558


NPI Information

NPI: 1154525558
Provider Name: MARIO A DELGADO MD PA
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 10D1014095

Address:
1950 SW 27TH AVE
MIAMI, FL
ZIP 33145
Phone: (305) 648-0011
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MARIO A DELGADO MD PA is a specialist in Miami, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MARIO A DELGADO MD PA NPI is 1154525558. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1950 SW 27TH AVE
MIAMI, FL
ZIP 33145-544
Phone: (305) 648-0011
Fax: (305) 648-0022

The provider's authorized official is Mario A Delgado .
The authorized official title is President and has the following contact phone number (305) 648-0011.

The CLIA number assigned to this NPI record is 10D1014095 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/12/2007 and was last updated on 7/7/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistME0048981FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1047028700MEDICAIDFLORIDA
204628MEDICARE ID-TYPE UNSPECIFIEDFLORIDA
3D19010MEDICARE UPINFLORIDA
41275589772OTHERFLORIDANPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.