Individual provider Active NPI

Luz Eneida Delgado, M.D.

  • General Practice Physician
  • Las Piedras, PR
National Provider Identifier
1104945195
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
9316 Issued in PR
Practice address
10 Calle Leopoldo Figueroa
Las Piedras, PR 00771-3049
Phone
(787) 733-2977
Fax
(787) 733-2977
NPI assigned
Mar 28, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 9316 PR Primary

Addresses

Primary practice location

10 Calle Leopoldo Figueroa
Las Piedras, PR 00771-3049

Mailing address

PO Box 411
Las Piedras, PR 00771-0411
Phone (787) 733-2977

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
I20070628000419 PR Practitioner - General Practice 8628177870 Practice locations: Las Piedras, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1980
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10 Calle Leopoldo Figueroa
Las Piedras, PR 00771-3049
Phone (787) 733-2977

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9316PRMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1104945195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 411",
            "city": "LAS PIEDRAS",
            "state": "PR",
            "postal_code": "007710411",
            "telephone_number": "787-733-2977",
            "fax_number": "787-733-2977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CALLE LEOPOLDO FIGUEROA",
            "city": "LAS PIEDRAS",
            "state": "PR",
            "postal_code": "007713049",
            "telephone_number": "787-733-2977",
            "fax_number": "787-733-2977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELGADO",
        "first_name": "LUZ",
        "middle_name": "ENEIDA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "9316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Piedras, PR

Sources for this page

Verify at the official NPI Registry.