Healthcare Provider Details

I. General information

NPI: 1386294171
Provider Name (Legal Business Name): RUBEN DELGADO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/13/2019
Last Update Date: 07/21/2025
Certification Date: 07/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4815 ALAMEDA AVE
EL PASO TX
79905-2705
US

IV. Provider business mailing address

4300 ALTON RD PATHOLOGY DEPARTMENT SUITE 2400
MIAMI BEACH FL
33140
US

V. Phone/Fax

Practice location:
  • Phone: 915-215-5625
  • Fax: 915-215-4770
Mailing address:
  • Phone: 305-674-2277
  • Fax: 305-674-2999

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License NumberTRN29725
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License NumberV3584
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: