Individual provider Active NPI

Evelyn Aneida Delgado, MD

  • Pediatrics Physician
  • Hialeah, FL
National Provider Identifier
1750325916
Registry record updated Sep 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME76718 Issued in FL
Practice address
3416 W 84TH St
Suite 100
Hialeah, FL 33018-4923
Phone
(305) 826-9449
Fax
(305) 828-1255
NPI assigned
Jun 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME76718 FL Primary

Addresses

Primary practice location

3416 W 84TH St
Suite 100
Hialeah, FL 33018-4923

Mailing address

3416 W 84TH St Ste 100
Hialeah Gardens, FL 33018-4934
Phone (305) 826-9449

Other identifiers 2

IdentifierTypeStateIssuer
255375900MedicaidFL
ME76718OtherFLFLORIDA MEDICAL LICENSE

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME76718FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Acd Pediatric Group PA Pediatrics Current Accepting new patients

Locations

3416 W 84th St
Ste 100
Hialeah Gardens, FL 33018
Phone (305) 826-9449

Interoperability endpoints

  • Direct secure messaging: drdelgado@apg-fl.direct.office.nextgen.com

Organizations & group practices 1

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": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568764800000",
    "number": "1750325916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3416 W 84TH ST STE 100",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330184934",
            "telephone_number": "305-826-9449",
            "fax_number": "305-828-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3416 W 84TH ST",
            "address_2": "SUITE 100",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330184923",
            "telephone_number": "305-826-9449",
            "fax_number": "305-828-1255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELGADO",
        "first_name": "EVELYN",
        "middle_name": "ANEIDA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2019-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME76718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "255375900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA MEDICAL LICENSE",
            "identifier": "ME76718",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2019; 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.