Healthcare Provider Details

I. General information

NPI: 1952504094
Provider Name (Legal Business Name): DELGADO PEDIATRICS AFTERHOURS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7815 CORAL WAY STE 106
MIAMI FL
33155-6541
US

IV. Provider business mailing address

PO BOX 941594
MIAMI FL
33194-1594
US

V. Phone/Fax

Practice location:
  • Phone: 305-262-2467
  • Fax:
Mailing address:
  • Phone: 305-262-2467
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MARIA ILEANA DELGADO
Title or Position: OWNER
Credential: MD
Phone: 305-202-2467