Healthcare Provider Details

I. General information

NPI: 1407947864
Provider Name (Legal Business Name): PABLO E DELGADO MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2006
Last Update Date: 01/04/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10700 N KENDALL DR SUITE 200
MIAMI FL
33176-1437
US

IV. Provider business mailing address

10700 N KENDALL DR SUITE 200
MIAMI FL
33176-1437
US

V. Phone/Fax

Practice location:
  • Phone: 305-270-7999
  • Fax: 305-270-6788
Mailing address:
  • Phone: 305-270-7999
  • Fax: 305-270-6788

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: DR. PABLO EDIES DELGADO
Title or Position: PRESIDENT
Credential: MD
Phone: 305-270-7999