Individual provider Active NPI

Carlos Lorenzo Delgado, MD

  • General Practice Physician
  • Hialeah, FL
National Provider Identifier
1922065218
Registry record updated Mar 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME65801 Issued in FL
Practice address
1957 West 60 Street
Hialeah, FL 33012
Phone
(305) 825-8170
Fax
(305) 825-8177
NPI assigned
Apr 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ME65801 FL Primary

Addresses

Primary practice location

1957 West 60 Street
Hialeah, FL 33012

Mailing address

1957 West 60 Street
Hialeah, FL 33012
Phone (305) 825-8170

Other identifiers 1

IdentifierTypeStateIssuer
374846400MedicaidFL

Other names 1

  • Carlos Delgado Professional name

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
I20040803000228 FL Practitioner - General PracticePractitioner - General Surgery 8426029653 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HL Hispanic Medical Center IncGroup PAC ID 4981885738, 2 clinicians

Practice addresses (Care Compare)

13333 SW 42 St
Miami, FL 33175-3270
Phone (305) 553-2999

1957 W 60 St
Hialeah, FL 33012-7504
Phone (305) 825-8170

Hospital & facility affiliations

  • American Home Health Providers Corp Home health agency, Hialeah, FL, CCN 109554
  • Mariners Hospital Hospital, Tavernier, FL, CCN 101313

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
HL Hispanic Medical Center Inc CurrentSince Dec 17, 2017 Accepting new patients
Carlos Delgado MD PA General Practice CurrentSince May 10, 2009 Accepting new patients

Locations

1957 W 60th St
Hialeah, FL 33012
Phone (305) 825-8170

13333 SW 42nd St
Miami, FL 33175
Phone (305) 553-2999

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1922065218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1957 WEST 60 STREET",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "33012",
            "telephone_number": "305-825-8170",
            "fax_number": "305-825-8177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1957 WEST 60 STREET",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "33012",
            "telephone_number": "305-825-8170",
            "fax_number": "305-825-8177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELGADO",
        "first_name": "CARLOS",
        "middle_name": "LORENZO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-28",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME65801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "374846400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLOS",
            "last_name": "DELGADO",
            "credential": "MD PA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.