Individual provider Active NPI

Juan C Peraza Delgado, MD

  • Cardiovascular Disease Physician
  • Arecibo, PR
National Provider Identifier
1043235658
Registry record updated Dec 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
12304 Issued in PR
Practice address
258 Calle Ventura Gandarilla
Arecibo, PR 00612-4862
Phone
(787) 878-4150
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 12304 PR Primary

Addresses

Primary practice location

258 Calle Ventura Gandarilla
Arecibo, PR 00612-4862

Mailing address

PO Box 141742
Arecibo, PR 00614-1742
Phone (787) 645-0665

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
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
I20040730001129 PR Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4183694524 Practice locations: Arecibo, PR; Hatillo, PR

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

258 Calle Ventura Gandarilla
Arecibo, PR 00612-4862
Phone (787) 878-4150

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12304PRMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hatillo Cardiovascular Inc Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355875200000",
    "number": "1043235658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 141742",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006141742",
            "telephone_number": "787-645-0665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 CALLE VENTURA GANDARILLA",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006124862",
            "telephone_number": "787-878-4150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERAZA DELGADO",
        "first_name": "JUAN",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2012-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "12304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arecibo, PR

Sources for this page

Verify at the official NPI Registry.