Provider Demographics
NPI:1922064443
Name:DELGADO, FRANCISCO M (MD)
Entity Type:Individual
Prefix:MR
First Name:FRANCISCO
Middle Name:M
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 1:9920 SW 20TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-7502
Mailing Address - Country:US
Mailing Address - Phone:305-223-9693
Mailing Address - Fax:305-223-9886
Practice Address - Street 1:8260 W FLAGLER ST
Practice Address - Street 2:SUITE 1-J
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-2069
Practice Address - Country:US
Practice Address - Phone:305-223-2464
Practice Address - Fax:305-223-9886
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-24
Last Update Date:2008-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0048451208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL043821900Medicaid
FL96989AMedicare ID - Type Unspecified
FL043821900Medicaid