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General NPI Number Information
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NPI Number | 1952504094
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Entity Type | Organization
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Legal Business Name | DELGADO PEDIATRICS AFTERHOURS
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Dates
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Enumeration Date | 06/06/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 7815 CORAL WAY STE 106
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City | MIAMI
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State | FL
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Zip | 33155-6541
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Country | US
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Telephone | 305-262-2467
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 941594
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City | MIAMI
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State | FL
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Zip | 33194-1594
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Country | US
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Telephone | 305-262-2467
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. MARIA ILEANA DELGADO
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Credential | MD
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Telephone | 305-202-2467
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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