Provider Demographics
NPI:1164006276
Name:LIVIA A. DELGADO, M.D., P.A.
Entity Type:Organization
Organization Name:LIVIA A. DELGADO, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LIVIA
Authorized Official - Middle Name:AMERICA
Authorized Official - Last Name:DELGADO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-222-8755
Mailing Address - Street 1:9580 SW 107TH AVE STE 203
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-2792
Mailing Address - Country:US
Mailing Address - Phone:305-222-8755
Mailing Address - Fax:305-228-0039
Practice Address - Street 1:9580 SW 107TH AVE STE 203
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-2792
Practice Address - Country:US
Practice Address - Phone:305-222-8755
Practice Address - Fax:305-228-0039
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LIVIA A. DELGADO, M.D., P.A.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-05-06
Last Update Date:2021-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty