Individual provider Active NPI

Andres Gabriel Delgado Hidalgo, MD

  • General Practice Physician
  • Aguadilla, PR
National Provider Identifier
1356937676
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
22638 Issued in PR
Practice address
Carr 107 KM 3.4 Bo Borinquen
Aguadilla, PR 00603
Phone
(787) 428-8174
Fax
(787) 658-6554
NPI assigned
Dec 21, 2020
Last updated
Sep 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 15692-I PR
General Practice Physician 208D00000X 22638 PR Primary

Addresses

Primary practice location

Carr 107 KM 3.4 Bo Borinquen
Aguadilla, PR 00603

Mailing address

Villas Universitaria Upr 64
Aguadilla, PR 00603
Phone (787) 428-8174

Other practice location 1

Avenida Severiano Cuevas #18 Km. 141.1 Bo.Caimital Bajo
Aguadilla, PR 00603
Phone (787) 658-0000

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
I20220415000609 PR Practitioner - General Practice 9234525486 Reassigns benefits to 1 organization
Practice locations: Aguadilla, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

Carr 107 KM 2
Aguadilla, PR 00603
Phone (787) 891-7428

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15692-IPRMDInternal Medicine Physician
22638PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital San Carlos Incorporado CurrentSince Jun 28, 2024 Accepting new patients
Servicios Hospitalistas San Carlos Borromeo CurrentSince Jun 28, 2024 Accepting new patients
Servicios de Anestesia Hospital San Carlos Borromeo PastSince Nov 22, 2020 Accepting new patients

Organizations & group practices 3

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 1

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": "1608508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1356937676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "VILLAS UNIVERSITARIA UPR 64",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "00603",
            "telephone_number": "787-428-8174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 107 KM 3.4 BO BORINQUEN",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "00603",
            "telephone_number": "787-428-8174",
            "fax_number": "787-658-6554"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Avenida Severiano Cuevas #18 Km. 141.1 Bo.Caimital Bajo",
            "address_purpose": "LOCATION",
            "city": "Aguadilla",
            "state": "PR",
            "postal_code": "00603",
            "country_code": "US",
            "telephone_number": "787-658-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELGADO HIDALGO",
        "first_name": "ANDRES",
        "middle_name": "GABRIEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-21",
        "last_updated": "2024-09-06",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "15692-I",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguadilla, PR

Sources for this page

Verify at the official NPI Registry.