Individual provider Active NPI

Ligia Elena Fragoso Delgado, MD

  • Student in an Organized Health Care Education/Training Program
  • Providence, RI
National Provider Identifier
1073218673
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
45 Sycamore St Apt a
Providence, RI 02909-1933
Phone
(617) 520-4842
NPI assigned
Apr 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X IL Primary

Addresses

Primary practice location

45 Sycamore St Apt a
Providence, RI 02909-1933

Mailing address

45 Sycamore St Apt a
Providence, RI 02909-1933
Phone (617) 520-4842

Other names 1

  • Dr. Ligia Fragoso Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20230518001418 IL Order and Referring Only - Family PracticePractitioner - Family Practice 9739545690

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Warren Alpert Medical School of Brown University, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1493 Cambridge St
Cambridge, MA 02139-1099

820 S Wood St
Chicago, IL 60612-4325

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: lfragosodelgado150940@uihealth.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1680480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1073218673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 SYCAMORE ST APT A",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029091933",
            "telephone_number": "617-520-4842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 SYCAMORE ST APT A",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029091933",
            "telephone_number": "617-520-4842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAGOSO DELGADO",
        "first_name": "LIGIA",
        "middle_name": "ELENA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-03",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LIGIA",
            "last_name": "FRAGOSO",
            "prefix": "DR.",
            "credential": "LIGIA FRAGOSO",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.