MEDICARE: AURORA DELGADO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	108307	FL

General Provider Information

NPI Number	:	1508036534
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AURORA DELGADO

Provider Business Mailing Address
First Line	:	4445 W 16TH AVE STE 605
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-2961
Country	:	US
Telephone Number	:	305-231-8009
Fax Number	:

Provider Business Practice Location Address
First Line	:	4445 W 16TH AVE STE 605
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-2961
Country	:	US
Telephone Number	:	305-231-8009
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/05/2008
Last Update Date	:	03/05/2008

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Directions to “ AURORA DELGADO ” Practice Location

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