Provider Demographics
NPI:1124098538
Name:DELGADO, AYMIN (MD)
Entity type:Individual
Prefix:
First Name:AYMIN
Middle Name:
Last Name:DELGADO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5955 PONCE DE LEON BLVD
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33146-2423
Mailing Address - Country:US
Mailing Address - Phone:305-661-1515
Mailing Address - Fax:305-662-3723
Practice Address - Street 1:2600 IMMOKALEE RD
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34110-1424
Practice Address - Country:US
Practice Address - Phone:239-213-0690
Practice Address - Fax:239-552-4060
Is Sole Proprietor?:No
Enumeration Date:2006-01-26
Last Update Date:2019-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA208031208000000X, 2080P0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0206XAllopathic & Osteopathic PhysiciansPediatricsPediatric Gastroenterology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAJ29810OtherBLUE CROSS
MA2017580Medicaid
MAAA16523OtherHARVARD PILGRIM
MA0033179OtherNEIGHBORHOOD HEALTH
MA469295OtherTUFTS
MA0033179OtherNEIGHBORHOOD HEALTH
MA469295OtherTUFTS