Provider Demographics
NPI:1447874920
Name:DELGADO, SERGIO MIGUEL
Entity type:Individual
Prefix:
First Name:SERGIO
Middle Name:MIGUEL
Last Name:DELGADO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2006 WEDGEMONT PL
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93311-2964
Mailing Address - Country:US
Mailing Address - Phone:646-575-6815
Mailing Address - Fax:
Practice Address - Street 1:4613 S ORANGE BLOSSOM TRL
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32839-1705
Practice Address - Country:US
Practice Address - Phone:407-232-9833
Practice Address - Fax:407-232-9829
Is Sole Proprietor?:No
Enumeration Date:2020-06-01
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME161339207Q00000X
CAA192148207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine