Individual provider Active NPI

Iris Y Delgado-Cardona, M.D.

  • General Practice Physician
  • San Sebastian, PR
National Provider Identifier
1447298534
Registry record updated Apr 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
14091 Issued in PR
Practice address
19 Calle Andres Mendez Liciaga
San Sebastian, PR 00685-2222
Phone
(787) 896-1865
Fax
(787) 896-1865
NPI assigned
Jun 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 14091 PR Primary

Addresses

Primary practice location

19 Calle Andres Mendez Liciaga
San Sebastian, PR 00685-2222

Mailing address

PO Box 204
San Sebastian, PR 00685-0204
Phone (787) 896-1865

Other identifiers 4

IdentifierTypeStateIssuer
9032OtherPRINTERNATIONAL MEDICAL CAR
00121718OtherPRHUMANA
9953OtherPRCRUZ AZUL
201997OtherPRPREFERRED HEALTH

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
I20090610000200 PR Practitioner - General Practice 9335299544 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Migrant Health Center Western Region,Inc CurrentSince Jun 21, 2013 Accepting new patients
Migrant Health Center Western Region, Inc. CurrentSince Jun 21, 2013 Accepting new patients
Migrant Health Center Western Region, Inc. Past Accepting new patients

Locations

392 Calle Rmn Btnces S
Mayaguez, PR 00680
Phone (787) 317-5187

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396310400000",
    "number": "1447298534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 204",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006850204",
            "telephone_number": "787-896-1865",
            "fax_number": "787-896-1865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 CALLE ANDRES MENDEZ LICIAGA",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006852222",
            "telephone_number": "787-896-1865",
            "fax_number": "787-896-1865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELGADO-CARDONA",
        "first_name": "IRIS",
        "middle_name": "Y",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-02",
        "last_updated": "2014-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "14091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERNATIONAL MEDICAL CAR",
            "identifier": "9032",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "00121718",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL",
            "identifier": "9953",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED HEALTH",
            "identifier": "201997",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Sebastian, PR

Sources for this page

Verify at the official NPI Registry.