| Organization Name: | CARLOS DELGADO MD PA |
| NPI Number: | 1376772558 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CARLOS LORENZO DELGADO (OWNER/PRESIDENT) |
| Mailing Address: | 1957 W 60th St Hialeah |
| State: | FL US |
| Postal Code: | 330127504 |
| Phone Number: | 3058258170 |
| Fax Number: | 3058258177 |
| NPI Enumeration Date: | 07/08/2009 |
| NPI Last Update Date: | 07/31/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | ME65801 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |