MEDICARE: DIANA MARIBEL DELGADO M.D.

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	208000000X	Pediatrics Physician	ME85858	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1770642597
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DIANA MARIBEL DELGADO M.D.

Provider Business Mailing Address
First Line	:	900 S PINE ISLAND RD STE 800
Second Line	:
City	:	PLANTATION
State	:	FL
Zip	:	33324-3923
Country	:	US
Telephone Number	:	386-673-2770
Fax Number	:	386-673-2760

Provider Business Practice Location Address
First Line	:	725 W GRANADA BLVD STE 1
Second Line	:
City	:	ORMOND BEACH
State	:	FL
Zip	:	32174-9406
Country	:	US
Telephone Number	:	386-673-2770
Fax Number	:	386-673-2760

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

Provider Enumeration Date	:	12/07/2006
Last Update Date	:	05/07/2025

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