Active NPI
Coralia Leticia Delgado-Gonzalez, M.D.
- General Practice Physician
- Cayey, PR
National Provider Identifier
1558304758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 14864
- Practice address
- Carr 735 KM 0.5 Edificio Liberty College Oficina 5
Bo Montellano
Cayey, PR 00736 - Phone
- (787) 263-7451
- Fax
- (787) 263-9887
- NPI assigned
- Jun 14, 2006
- Last updated
- Mar 20, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 14864 | PR | Primary |
Addresses
Primary practice location
Carr 735 KM 0.5 Edificio Liberty College Oficina 5
Bo Montellano
Cayey, PR 00736
Mailing address
F29 Calle San Clemente
Notre Dame
Caguas, PR 00725
Phone (787) 263-7451
Other practice location 1
Urb. Notre Dame
F29 Calle San Clemente
Caguas, PR 00725
Phone (787) 263-7451
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100809000845 | PR | Practitioner - General Practice | 0244363406 | Practice locations: Cayey, PR |
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
Edif Liberty College
5 Carr 735 KM 0.5 Bo. Montellano
Cayey, PR 00736-0736
Phone (787) 263-7451
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14864 | PR | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553040000000",
"number": "1558304758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "F29 CALLE SAN CLEMENTE",
"address_2": "NOTRE DAME",
"city": "CAGUAS",
"state": "PR",
"postal_code": "00725",
"telephone_number": "787-263-7451",
"fax_number": "787-263-9887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 735 KM 0.5 EDIFICIO LIBERTY COLLEGE OFICINA 5",
"address_2": "BO MONTELLANO",
"city": "CAYEY",
"state": "PR",
"postal_code": "00736",
"telephone_number": "787-263-7451",
"fax_number": "787-263-9887"
}
],
"practiceLocations": [
{
"address_1": "Urb. Notre Dame",
"address_2": "F29 Calle San Clemente",
"address_purpose": "LOCATION",
"city": "Caguas",
"state": "PR",
"postal_code": "00725",
"country_code": "US",
"telephone_number": "787-263-7451",
"fax_number": "787-263-7451",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DELGADO-GONZALEZ",
"first_name": "CORALIA",
"middle_name": "LETICIA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-14",
"last_updated": "2019-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "14864",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cayey, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.