Individual provider Active NPI

Angel F. Delgado Garrastegui, M.D.

  • Nephrology Physician
  • Toa Baja, PR
National Provider Identifier
1245644061
Registry record updated Oct 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A161438 Issued in CA
Practice address
A la Orden Shopping Center Ave Comerio Norte
#600 2ND Floor 2821 PR-167
Toa Baja, PR 00949
Phone
(787) 710-2532
NPI assigned
Jun 19, 2014
Last updated
Oct 14, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X A161438 CA Primary

Addresses

Primary practice location

A la Orden Shopping Center Ave Comerio Norte
#600 2ND Floor 2821 PR-167
Toa Baja, PR 00949

Mailing address

A la Orden Shopping Center 2ND FL 600, 2821 PR-167
Toa Baja, PR 00949
Phone (787) 710-2532

Other practice location 1

University District Hospital Puerto Rico Medical Center
Bo Monacillos
San Juan, PR 00935-0001
Phone (787) 758-2525 ext. 1828

Other practice location 2

1501 Kings Hwy
Shreveport, LA 71103-4228
Phone (318) 626-0505

Other practice location 3

2823 Fresno St
Fresno, CA 93721-1324
Phone (559) 499-6500

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
I20211108001117 PR Practitioner - Nephrology 5890055073 Reassigns benefits to 1 organization
Practice locations: Toa Baja, PR

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nefrologos Asociados del Norte LLCGroup PAC ID 8921181736, 3 clinicians

Practice addresses (Care Compare)

65 Ave Barbosa
Arecibo, PR 00612-2799
Phone (787) 879-3328

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A161438CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nefrologos Asociados del Norte, LLC Nephrology CurrentSince Jun 1, 2022 Accepting new patients
Central California Faculty Medical Group, Inc. Nephrology Past Accepting new patients

Locations

65 Ave Barbosa
Ste 107
Arecibo, PR 00612
Phone (787) 878-6791

Interoperability endpoints

  • Direct secure messaging: angel.delgadogarrastegui@4003.securemail.prognocis.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634169600000",
    "number": "1245644061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "A LA ORDEN SHOPPING CENTER 2ND FL 600, 2821 PR-167",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "00949",
            "telephone_number": "787-710-2532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "A LA ORDEN SHOPPING CENTER AVE COMERIO NORTE",
            "address_2": "#600 2ND FLOOR 2821 PR-167",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "00949",
            "telephone_number": "787-710-2532"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "University District Hospital Puerto Rico Medical Center",
            "address_2": "Bo Monacillos",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009350001",
            "country_code": "US",
            "telephone_number": "787-758-2525 x1828",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1501 Kings Hwy",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711034228",
            "country_code": "US",
            "telephone_number": "318-626-0505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2823 Fresno St",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937211324",
            "country_code": "US",
            "telephone_number": "559-499-6500",
            "fax_number": "559-499-6411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELGADO GARRASTEGUI",
        "first_name": "ANGEL",
        "middle_name": "F.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-19",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A161438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toa Baja, PR

Sources for this page

Verify at the official NPI Registry.