Provider Demographics
NPI:1730481474
Name:HECTOR M DELGADO D O P A
Entity Type:Organization
Organization Name:HECTOR M DELGADO D O P A
Other - Org Name:KENDALL FAMILY MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:HECTOR
Authorized Official - Middle Name:MANUEL
Authorized Official - Last Name:DELGADO
Authorized Official - Suffix:
Authorized Official - Credentials:D O
Authorized Official - Phone:305-279-0111
Mailing Address - Street 1:9220 SUNSET DR STE 202
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-3259
Mailing Address - Country:US
Mailing Address - Phone:305-279-0111
Mailing Address - Fax:305-279-6806
Practice Address - Street 1:9220 SUNSET DR STE 202
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-3259
Practice Address - Country:US
Practice Address - Phone:305-279-0111
Practice Address - Fax:305-279-6806
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-01
Last Update Date:2013-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty