Individual provider Active NPI

Luis A Delgado Mateu

  • Hematology & Oncology Physician
  • San Juan, PR
National Provider Identifier
1568586287
Registry record updated Mar 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
11592 Issued in PR
Practice address
Hosp. Dr. Isaacgonzalez Martinez
Ave. Americo Miranda
San Juan, PR 00926
Phone
(787) 763-4149
NPI assigned
Mar 19, 2007
Last updated
Mar 23, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 11592 PR Primary

Addresses

Primary practice location

Hosp. Dr. Isaacgonzalez Martinez
Ave. Americo Miranda
San Juan, PR 00926

Mailing address

295 Palmas Inn Way
Suite 130 PMB 124
Humacao, PR 00791-6181
Phone (787) 403-3770

Other identifiers 1

IdentifierTypeStateIssuer
11592OtherPRPRACTICE LICENSE

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
I20040424000141 PR Practitioner - Hematology/OncologyPractitioner - Internal Medicine 5496741357 Practice locations: San Juan, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Liga Puertorriquena Contra El Cancer Past Accepting new patients

Organizations & group practices 1

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": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269302400000",
    "number": "1568586287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 PALMAS INN WAY",
            "address_2": "SUITE 130 PMB 124",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007916181",
            "telephone_number": "787-403-3770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HOSP. DR. ISAACGONZALEZ MARTINEZ",
            "address_2": "AVE. AMERICO MIRANDA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-763-4149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELGADO MATEU",
        "first_name": "LUIS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2010-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "PR",
            "license": "11592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRACTICE LICENSE",
            "identifier": "11592",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.