Active NPI
Gadiel Delgado, LTM
- Massage Therapist
- San Juan, PR
National Provider Identifier
1346767605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 197
- Practice address
- 465 Ave Hostos
Urb El Vedado
San Juan, PR 00919-1147 - Phone
- (787) 946-4501
- NPI assigned
- Aug 28, 2017
- Last updated
- Jul 21, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 197 | PR | Primary |
Addresses
Primary practice location
465 Ave Hostos
Urb El Vedado
San Juan, PR 00919-1147
Mailing address
PO Box 191147
San Juan, PR 00919-1147
Phone (787) 946-4501
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 197 | PR | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Well&Lean LLC | Current | Accepting new patients | |
| Well&Lean LLC | Past | Accepting new patients |
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.
-
- Health Service Clinic/Center
- San Juan, PR
- NPI 1306207972
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Juan, PR
- NPI 1194272575
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1346767605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 191147",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009191147",
"telephone_number": "787-946-4501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "465 AVE HOSTOS",
"address_2": "URB EL VEDADO",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009191147",
"telephone_number": "787-946-4501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELGADO",
"first_name": "GADIEL",
"credential": "LTM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-28",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "PR",
"license": "197",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.