Provider Demographics
NPI:1174521454
Name:DELGADO, MARGARITA (DO)
Entity type:Individual
Prefix:
First Name:MARGARITA
Middle Name:
Last Name:DELGADO
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:MARGARITA
Other - Middle Name:
Other - Last Name:DELGADO-NORIEGA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO
Mailing Address - Street 1:170 SEMINOLE AVE
Mailing Address - Street 2:
Mailing Address - City:LAKE MARY
Mailing Address - State:FL
Mailing Address - Zip Code:32746-2929
Mailing Address - Country:US
Mailing Address - Phone:887-423-1330
Mailing Address - Fax:407-302-0023
Practice Address - Street 1:170 SEMINOLE AVE
Practice Address - Street 2:
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746-2929
Practice Address - Country:US
Practice Address - Phone:887-423-1330
Practice Address - Fax:407-302-0023
Is Sole Proprietor?:No
Enumeration Date:2005-07-12
Last Update Date:2016-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS7313207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL255792400Medicaid
FL56728VMedicare Oscar/Certification