Active NPI
Panamerican Internal Medicine Inc
- Health Maintenance Organization
- Lehigh Acres, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- License
- ME100544
- Legal business name
- PANAMERICAN INTERNAL MEDICINE INC
- Practice address
- 2814 Lee Blvd Ste 15
Lehigh Acres, FL 33971-1561 - Phone
- (239) 246-1136
- NPI assigned
- May 27, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Dolores Yamila Delgado, MD
- Title
- MD
- Phone
- (239) 410-2887
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | ME100544 | FL | Primary |
Addresses
Primary practice location
2814 Lee Blvd Ste 15
Lehigh Acres, FL 33971-1561
Mailing address
2814 Lee Blvd Ste 15
Lehigh Acres, FL 33971-1561
Phone (239) 303-7726
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000052800 | Medicaid | FL | |
| 0000 | Medicaid | FL | |
| 1275521619 | Other | NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D1098350 | Panamerican Internal Medicine Inc | Certificate of waiver | Apr 16, 2027 |
National Provider Directory
National Provider DirectoryLocations
13100 Westlinks Ter
Ste 10
Fort Myers, FL 33913
Phone (239) 246-1136
2814 Lee Blvd
Ste 15
Lehigh Acres, FL 33971
Phone (239) 303-7726
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Lehigh Acres, FL
- NPI 1275521619
-
- Internal Medicine Physician
- Fort Myers, FL
- NPI 1912994781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211846400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1669593600000",
"number": "1396903308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2814 LEE BLVD STE 15",
"city": "LEHIGH ACRES",
"state": "FL",
"postal_code": "339711561",
"telephone_number": "239-303-7726",
"fax_number": "239-491-0719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2814 LEE BLVD STE 15",
"city": "LEHIGH ACRES",
"state": "FL",
"postal_code": "339711561",
"telephone_number": "239-246-1136"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PANAMERICAN INTERNAL MEDICINE INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-27",
"last_updated": "2022-11-28",
"certification_date": "2022-11-28",
"status": "A",
"authorized_official_last_name": "DELGADO",
"authorized_official_first_name": "DOLORES",
"authorized_official_middle_name": "YAMILA",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "239-410-2887",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": "FL",
"license": "ME100544",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000052800",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0000",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1275521619",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lehigh Acres, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.