Individual provider Active NPI

Icel Lopez-Delgado

  • Counselor
  • Hialeah, FL
National Provider Identifier
1780786293
Registry record updated Sep 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
2300 W 84TH St Ste 105
2300 W 84 TH Street Suite 105
Hialeah, FL 33016-5771
Phone
(786) 666-0507
Fax
(786) 666-0419
NPI assigned
Sep 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

2300 W 84TH St Ste 105
2300 W 84 TH Street Suite 105
Hialeah, FL 33016-5771

Mailing address

11031 NE 6TH Ave
2300 W 84 TH Street Suite 105
Hialeah, FL 33016-7182
Phone (786) 666-0507

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

NPI Registry JSON

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

{
    "created_epoch": "1157328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472774400000",
    "number": "1780786293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11031 NE 6TH AVE",
            "address_2": "2300 W 84 TH STREET SUITE 105",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330167182",
            "telephone_number": "786-666-0507",
            "fax_number": "786-666-0419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 W 84TH ST STE 105",
            "address_2": "2300 W 84 TH STREET SUITE 105",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330165771",
            "telephone_number": "786-666-0507",
            "fax_number": "786-666-0419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ-DELGADO",
        "first_name": "ICEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-04",
        "last_updated": "2016-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 2, 2016; 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.