Provider Demographics
NPI:1326304510
Name:DELGADO, SUZETTE (MD)
Entity Type:Individual
Prefix:
First Name:SUZETTE
Middle Name:
Last Name:DELGADO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10700 N KENDALL DR
Mailing Address - Street 2:STE 200
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-1483
Mailing Address - Country:US
Mailing Address - Phone:305-270-7999
Mailing Address - Fax:305-270-7999
Practice Address - Street 1:10700 N KENDALL DR
Practice Address - Street 2:STE 200
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-1483
Practice Address - Country:US
Practice Address - Phone:305-270-7999
Practice Address - Fax:305-270-7999
Is Sole Proprietor?:No
Enumeration Date:2012-04-02
Last Update Date:2016-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME128231207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL017758000Medicaid