Individual provider Active NPI

Coralia Leticia Delgado-Gonzalez, M.D.

  • General Practice Physician
  • Cayey, PR
National Provider Identifier
1558304758
Registry record updated Mar 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
14864 Issued in PR
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, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2019

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
14864PRMDClinical 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

Verify at the official NPI Registry.