Organization Active NPI

Dra. Adalizzie Delgado & Asociados PSC

  • Health Maintenance Organization
  • Bayamon, PR
National Provider Identifier
1205177318
Registry record updated Mar 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
11110 Issued in PR
Legal business name
DRA. ADALIZZIE DELGADO & ASOCIADOS PSC
Practice address
Bayamon Medical Plaza
Suite 902
Bayamon, PR 00959
Phone
(787) 780-9212
Fax
(787) 785-9212
NPI assigned
Mar 14, 2013
Last updated
Mar 14, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
ADA DELGADO MATEO MDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 14, 2013

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

Authorized official

Name
Dr. Ada L Delgado, 11110
Title
Psychiatry
Phone
(787) 780-9212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 11110 PR Primary

Addresses

Primary practice location

Bayamon Medical Plaza
Suite 902
Bayamon, PR 00959

Mailing address

Bayamon Medical Plaza
Suite 902
Bayamon, PR 00959
Phone (787) 780-9212

Other names 1

  • Ada Delgado Mateo MD Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131120000760 PR Part B Supplier - Clinic/Group Practice 3173759289 Receives reassigned benefits from 1 practitioner
Practice locations: Naranjito, PR; Bayamon, PR

National Provider Directory

National Provider Directory

Locations

50 Calle Georgetti
Naranjito, PR 00719
Phone (787) 869-7331

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1363219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363219200000",
    "number": "1205177318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BAYAMON MEDICAL PLAZA",
            "address_2": "SUITE 902",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00959",
            "telephone_number": "787-780-9212",
            "fax_number": "787-785-9212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BAYAMON MEDICAL PLAZA",
            "address_2": "SUITE 902",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00959",
            "telephone_number": "787-780-9212",
            "fax_number": "787-785-9212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRA. ADALIZZIE DELGADO & ASOCIADOS PSC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADA DELGADO MATEO MD",
        "enumeration_date": "2013-03-14",
        "last_updated": "2013-03-14",
        "status": "A",
        "authorized_official_last_name": "DELGADO",
        "authorized_official_first_name": "ADA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PSYCHIATRY",
        "authorized_official_telephone_number": "787-780-9212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "11110"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "PR",
            "license": "11110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ada Delgado Mateo MD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.