# CARLOS DELGADO MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376772558
- **Authorized official:** CARLOS LORENZO DELGADO MD (OWNER)
- **Authorized official phone:** (305) 825-8170

## Contact information

- **Practice address:** 1957 W 60TH ST, HIALEAH, FL 33012-7504
- **Practice address phone:** (305) 825-8170
- **Practice address fax:** (305) 825-8177
- **Mailing address:** 1957 W 60TH ST, HIALEAH, FL 33012-7504
- **Mailing address phone:** (305) 825-8170
- **Mailing address fax:** (305) 825-8177

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | ME65801 | FL | Yes |

## Other

- **Enumeration date:** 07/08/2009
- **Last updated:** 03/31/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 110488100 | — | FL |