Individual provider Active NPI

Miguel A Delage, D.P.M.

  • Podiatrist
  • Miami, FL
National Provider Identifier
1053320135
Registry record updated May 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO1494 Issued in FL
Practice address
8900 Coral Way Ste 206
Miami, FL 33165-2075
Phone
(305) 693-5817
Fax
(305) 223-1005
NPI assigned
Aug 6, 2006
Last updated
May 1, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO1494 FL Primary

Addresses

Primary practice location

8900 Coral Way Ste 206
Miami, FL 33165-2075

Mailing address

8900 Coral Way Ste 206
Miami, FL 33165-2075
Phone (305) 693-5817

Other identifiers 1

IdentifierTypeStateIssuer
041224400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO1494FLMDPodiatrist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493596800000",
    "number": "1053320135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8900 CORAL WAY STE 206",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652075",
            "telephone_number": "305-693-5817",
            "fax_number": "305-223-1005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8900 CORAL WAY STE 206",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652075",
            "telephone_number": "305-693-5817",
            "fax_number": "305-223-1005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELAGE",
        "first_name": "MIGUEL",
        "middle_name": "A",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-06",
        "last_updated": "2017-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO1494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "041224400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.