Provider Demographics
NPI:1780850008
Name:DELGADO, EDUARDO ENRIQUE (MD)
Entity Type:Individual
Prefix:DR
First Name:EDUARDO
Middle Name:ENRIQUE
Last Name:DELGADO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2311 N PROSPECT AVE
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53211-4445
Mailing Address - Country:US
Mailing Address - Phone:414-319-3000
Mailing Address - Fax:414-319-3033
Practice Address - Street 1:4425 N PORT WASHINGTON RD
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:WI
Practice Address - Zip Code:53212-1082
Practice Address - Country:US
Practice Address - Phone:414-326-2218
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-06
Last Update Date:2015-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME115859208000000X
WI64807208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics