Healthcare Provider Details

I. General information

NPI: 1346208626
Provider Name (Legal Business Name): DELFINA MEDICAL CENTER, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

835 E 10TH AVE
HIALEAH FL
33010-4645
US

IV. Provider business mailing address

835 E 10TH AVE
HIALEAH FL
33010-4645
US

V. Phone/Fax

Practice location:
  • Phone: 305-821-3620
  • Fax: 305-821-3620
Mailing address:
  • Phone: 305-821-3620
  • Fax: 305-821-3620

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License NumberHCC5085
License Number StateFL

VIII. Authorized Official

Name: RAMON A BERENGUER
Title or Position: PRESIDENT
Credential: M.D.
Phone: 305-821-3620