Individual provider Active NPI

Maria I Delgado, MD

  • Family Medicine Physician
  • Homestead, FL
National Provider Identifier
1689672867
Registry record updated Aug 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME65520 Issued in FL
Practice address
43 NE 15TH St
Homestead, FL 33030-4506
Phone
(786) 243-1909
Fax
(786) 243-4292
NPI assigned
Jul 12, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME65520 FL
General Practice Physician 208D00000X ME65520 FL
Family Medicine Physician 207Q00000X ME65520 FL Primary

Addresses

Primary practice location

43 NE 15TH St
Homestead, FL 33030-4506

Mailing address

43 NE 15TH St
Homestead, FL 33030-4506
Phone (786) 243-1909

Other identifiers 4

IdentifierTypeStateIssuer
04680070OtherFLECFMG NUMBER
272981OtherLAWELLCARE
7308366OtherFLAETNA ID#
25106OtherFLBCBS ID#

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041013000346 FL Practitioner - General PracticePractitioner - Pediatric MedicinePractitioner - Family Practice 3779543178 Reassigns benefits to 1 organization
Practice locations: Homestead, FL

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Pediatric Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Homestead Medical Clinic, P.a.Group PAC ID 5991132342, 2 clinicians

Practice addresses (Care Compare)

43 NE 15TH St
Homestead, FL 33030-4506
Phone (486) 243-1909

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME65520FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Homestead Medical Clinic, P.a General Practice CurrentSince Jan 28, 2020 Accepting new patients
Enlightened Health Restoration CurrentSince Mar 31, 2024 Accepting new patients
Miami Med Group Inc General Practice PastSince Aug 1, 2021 Accepting new patients
New Life Medical Group Inc General Practice Past Accepting new patients
Juventud Corporation General Practice Past Accepting new patients

Locations

43 NE 15th St
Homestead, FL 33030
Phone (786) 243-1909

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1689672867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 NE 15TH ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304506",
            "telephone_number": "786-243-1909",
            "fax_number": "786-243-4292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 NE 15TH ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304506",
            "telephone_number": "786-243-1909",
            "fax_number": "786-243-4292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELGADO",
        "first_name": "MARIA",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-12",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME65520",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME65520",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME65520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ECFMG NUMBER",
            "identifier": "04680070",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "272981",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA ID#",
            "identifier": "7308366",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID#",
            "identifier": "25106",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

Verify at the official NPI Registry.