Individual provider Active NPI

Annette Perez-Delboy, M.D.

  • Maternal & Fetal Medicine Physician
  • San Juan, PR
National Provider Identifier
1528097615
Registry record updated Dec 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
13038 Issued in PR
Practice address
1451 Avenida Ashford
San Juan, PR 00902
Phone
(646) 373-2828
NPI assigned
Jul 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X 215220-1 NY
Maternal & Fetal Medicine Physician 207VM0101X 13038 PR Primary

Addresses

Primary practice location

1451 Avenida Ashford
San Juan, PR 00902

Mailing address

P.O.Box 10011
San Juan, PR 00908
Phone (787) 474-4800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040409000492 NY Practitioner - Obstetrics/Gynecology 7719971183 Reassigns benefits to 2 organizations
I20190411002920 PR Practitioner - Obstetrics/Gynecology 7719971183

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
215220-1NYMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trustees of Columbia University in the City of New York CurrentSince Apr 1, 2018 Accepting new patients
Advanced Prenatal Diagnosis LLC Maternal & Fetal Medicine CurrentSince May 1, 2019 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Dec 5, 2016 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Dec 5, 2016 Accepting new patients
Trustees of Columbia University Dept of Obstetrics and GYN Ultrasound Past Accepting new patients

Locations

77 Pondfield Rd
#C
Bronxville, NY 10708
Phone (914) 337-2102

51 W 51st St
Ste 360
New York, NY 10019
Phone (212) 326-8415

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559

622 W 168th St
Ph 12
New York, NY 10032
Phone (212) 305-5819

622 W 168th St
Ph 1624
New York, NY 10032
Phone (212) 305-4098

1451 Ave Ashford
Ste 2
San Juan, PR 00907
Phone (787) 474-4800

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 5

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": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1528097615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O.BOX 10011",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00908",
            "telephone_number": "787-474-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 AVENIDA ASHFORD",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00902",
            "telephone_number": "646-373-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ-DELBOY",
        "first_name": "ANNETTE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-01",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "NY",
            "license": "215220-1",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "PR",
            "license": "13038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.