Active NPI
Mayra Manuela Delgado, M.D.
- Internal Medicine Physician
- Miami Gardens, FL
National Provider Identifier
1760416044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME55690
- Practice address
- 1000 Park Centre Blvd
Suite 100
Miami Gardens, FL 33169-5373 - Phone
- (305) 621-0023
- Fax
- (305) 623-9188
- NPI assigned
- Jul 10, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME55690 | FL | Primary |
Addresses
Primary practice location
1000 Park Centre Blvd
Suite 100
Miami Gardens, FL 33169-5373
Mailing address
1000 Park Centre Blvd
Suite 100
Miami Gardens, FL 33169-5373
Phone (305) 621-0023
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 372817000 | Medicaid | FL |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unique Medical Center of Miami, LLC | Current | Accepting new patients | |
| California Club Medical Center LLC | Past | Accepting new patients | |
| Qualcare Medical Centers LLC | Past | Accepting new patients |
Locations
3850 SW 87th Ave
Ste 201
Miami, FL 33165
Phone (305) 227-3350
Organizations & group practices 3
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.
-
- Physician Assistant
- Miami, FL
- NPI 1184072662
-
- Family Medicine Physician
- North Miami Beach, FL
- NPI 1538106919
-
- Family Medicine Physician
- Miami, FL
- NPI 1770872566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348617600000",
"number": "1760416044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 PARK CENTRE BLVD",
"address_2": "SUITE 100",
"city": "MIAMI GARDENS",
"state": "FL",
"postal_code": "331695373",
"telephone_number": "305-621-0023",
"fax_number": "305-623-9188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 PARK CENTRE BLVD",
"address_2": "SUITE 100",
"city": "MIAMI GARDENS",
"state": "FL",
"postal_code": "331695373",
"telephone_number": "305-621-0023",
"fax_number": "305-623-9188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELGADO",
"first_name": "MAYRA",
"middle_name": "MANUELA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-10",
"last_updated": "2012-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME55690",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "372817000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.