| Carlos Delgado Md Pa | |
|
1957 W 60th St Hialeah FL 33012-7504 | |
| (305) 825-8170 | |
| (305) 825-8177 |
| Full Name | Carlos Delgado Md Pa |
|---|---|
| Speciality | General Practice |
| Location | 1957 W 60th St, Hialeah, Florida |
| Authorized Official Name and Position | Carlos Lorenzo Delgado (OWNER) |
| Authorized Official Contact | 3058258170 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carlos Delgado Md Pa 1957 W 60th St Hialeah FL 33012-7504 Ph: (305) 825-8170 | Carlos Delgado Md Pa 1957 W 60th St Hialeah FL 33012-7504 Ph: (305) 825-8170 |
| NPI Number | 1376772558 |
|---|---|
| Provider Enumeration Date | 07/08/2009 |
| Last Update Date | 03/31/2022 |
| Medicare PECOS PAC ID | 6204981780 |
|---|---|
| Medicare Enrollment ID | O20090904000373 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376772558 | NPI | - | NPPES |
| 110488100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | ME65801 (Florida) | Primary |
| Provider Name | Carlos Lorenzo Delgado |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1922065218 PECOS PAC ID: 8426029653 Enrollment ID: I20040803000228 |
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