Individual provider Active NPI

Mayra Manuela Delgado, M.D.

  • Internal Medicine Physician
  • Miami Gardens, FL
National Provider Identifier
1760416044
Registry record updated Sep 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME55690 Issued in FL
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

Updated by the provider on Sep 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
372817000MedicaidFL

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
I20090120000674 FL Practitioner - Internal Medicine 9032272901 Reassigns benefits to 1 organization

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Unique Medical Center of Miami, LLC CurrentSince Jan 30, 2017 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.

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

Verify at the official NPI Registry.