=====================================================
General NPI Number Information
=====================================================
NPI Number | 1922064443
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | FRANCISCO M. DELGADO M.D.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/24/2006
-----------------------------------------------------
Last Update Date | 01/07/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8260 W FLAGLER ST SUITE 1-J
-----------------------------------------------------
City | MIAMI
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33144-2069
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-223-2464
-----------------------------------------------------
Fax | 305-223-9886
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 9920 SW 20TH ST
-----------------------------------------------------
City | MIAMI
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33165-7502
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-223-9693
-----------------------------------------------------
Fax | 305-223-9886
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 208D00000X
-----------------------------------------------------
Taxonomy Name | General Practice Physician
-----------------------------------------------------
License Number | ME0048451
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------