Healthcare Provider Details

I. General information

NPI: 1639166812
Provider Name (Legal Business Name): FAMILY/INTERNAL MEDICINE ASSOCIATES, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 MARKET PLAZA WAY
MECHANICSBURG PA
17055-5659
US

IV. Provider business mailing address

6 MARKET PLAZA WAY
MECHANICSBURG PA
17055-5659
US

V. Phone/Fax

Practice location:
  • Phone: 717-766-0228
  • Fax:
Mailing address:
  • Phone: 717-766-0228
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. CARLOS FERMIN DELAFUENTE
Title or Position: PRESIDENT
Credential: MD
Phone: 717-766-0228