Individual provider Active NPI

Anibal Feliciano Deliz, MD

  • Internal Medicine Physician
  • San Juan, PR
National Provider Identifier
1124248315
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
9936 Issued in PR
Practice address
371 Calle Jose de Diego
San Juan, PR 00923
Phone
(787) 767-5100
NPI assigned
Apr 27, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 9936 PR Primary

Addresses

Primary practice location

371 Calle Jose de Diego
San Juan, PR 00923

Mailing address

PO Box 29025
San Juan, PR 00929-0025
Phone (787) 767-5100

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
I20050329000786 PR Practitioner - Internal Medicine 8628023405 Reassigns benefits to 1 organization
Practice locations: San Juan, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9936PRMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
San Francisco Health System Inc Hospital San Francisco Internal Medicine CurrentSince Feb 17, 2016 Accepting new patients
San Francisco Health System Inc CurrentSince Feb 17, 2016 Accepting new patients
Ses-Med, P.S.C. Internal Medicine PastSince Mar 15, 2005 Accepting new patients
San Lucas Metro, Inc. Past Accepting new patients
Fajardo Integrated Medical Center Past Accepting new patients
Recinto de Ciencias Medicas Internal Medicine Past Accepting new patients

Locations

371 Calle de Diego
San Juan, PR 00923
Phone (787) 754-4244

Organizations & group practices 6

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": "1177632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1124248315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29025",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009290025",
            "telephone_number": "787-767-5100",
            "fax_number": "787-250-7829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "371 CALLE JOSE DE DIEGO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00923",
            "telephone_number": "787-767-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELICIANO DELIZ",
        "first_name": "ANIBAL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-27",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "9936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.