Delgado, Mayra Manuela

Delgado, Mayra Manuela is an individual health care provider with primary practice located at 1000 Park Centre Blvd Suite 100, Miami Gardens FL 33169-5373. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Delgado, Mayra Manuela can be contacted via phone (305) 621-0023.

Contact Information

Primary practice address
1000 Park Centre Blvd Suite 100 Miami Gardens FL 33169-5373
Fax: (305) 623-9188
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME55690 Florida

Profile Details

NPI number 1760416044
LBN Legal business name Delgado, Mayra Manuela
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Sep 26th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760416044 NPPES
Florida MEDICAID 372817000

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