Individual provider Active NPI

Blas Delgado Ortiz, M.D.

  • Pediatrics Physician
  • Caguas, PR
National Provider Identifier
1174528665
Registry record updated Oct 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
7401 Issued in PR
Practice address
50 Ave Munoz Marin
Suite 307
Caguas, PR 00725-3982
Phone
(787) 746-2021
Fax
(787) 746-4248
NPI assigned
Jun 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 7401 PR Primary

Addresses

Primary practice location

50 Ave Munoz Marin
Suite 307
Caguas, PR 00725-3982

Mailing address

PO Box 6164
Caguas, PR 00726-6164
Phone (787) 746-2021

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
7401PRMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Grupo Pediatrico de Caguas CSP 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": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350000000000",
    "number": "1174528665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6164",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007266164",
            "telephone_number": "787-746-2021",
            "fax_number": "787-746-4248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 AVE MUNOZ MARIN",
            "address_2": "SUITE 307",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007253982",
            "telephone_number": "787-746-2021",
            "fax_number": "787-746-4248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELGADO ORTIZ",
        "first_name": "BLAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2012-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "7401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.