Provider Demographics
NPI:1174318125
Name:DELGADO, ROBERT CHARLES
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:CHARLES
Last Name:DELGADO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13958 KENDALE LAKES DR
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33183-2148
Mailing Address - Country:US
Mailing Address - Phone:786-380-0222
Mailing Address - Fax:786-380-0222
Practice Address - Street 1:13958 KENDALE LAKES DR
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33183-2148
Practice Address - Country:US
Practice Address - Phone:786-380-0222
Practice Address - Fax:786-380-0222
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-10
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL26114225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist