Individual provider Active NPI

Ricardo Luis Rodriguez Delgado, M.D.

  • General Practice Physician
  • Carolina, PR
National Provider Identifier
1477655710
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
16594 Issued in PR
Practice address
Avenida El Comandante HM-1
Tercera Extension de Country Club
Carolina, PR 00982
Phone
(787) 998-8040
Fax
(787) 998-8041
NPI assigned
Sep 5, 2006
Last updated
Jan 24, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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 16594 PR Primary

Addresses

Primary practice location

Avenida El Comandante HM-1
Tercera Extension de Country Club
Carolina, PR 00982

Mailing address

PO Box 2013
Carolina, PR 00984-2013
Phone (787) 998-8040

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
I20061121000018 PR Practitioner - General Practice 1658379912 Practice locations: Carolina, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
San Juan Bautista School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Urb Country Club Tercera Extension
Carolina, PR 00982-2775
Phone (787) 998-8040

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16594PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Policlinica Dr. Luis Rodriguez Carrasquillo, PSC Past Accepting new patients
Carolina Wound & Skin Care LLC General Practice PastSince Aug 18, 2024 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.

NPI Registry JSON

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1477655710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2013",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009842013",
            "telephone_number": "787-998-8040",
            "fax_number": "787-998-8041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVENIDA EL COMANDANTE HM-1",
            "address_2": "TERCERA EXTENSION DE COUNTRY CLUB",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00982",
            "telephone_number": "787-998-8040",
            "fax_number": "787-998-8041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ DELGADO",
        "first_name": "RICARDO",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-05",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "16594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

Verify at the official NPI Registry.