Individual provider Active NPI

Hector S Miranda Delgado, MD

  • Neurology Physician
  • San Juan, PR
National Provider Identifier
1609847763
Registry record updated Aug 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
9912 Issued in PR
Practice address
365 De Diego Ave
San Francisco Tower Suite 409
San Juan, PR 00923
Phone
(787) 767-5944
Fax
(787) 765-5786
NPI assigned
Jan 27, 2006
Last updated
Aug 6, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 9912 PR Primary

Addresses

Primary practice location

365 De Diego Ave
San Francisco Tower Suite 409
San Juan, PR 00923

Mailing address

365 De Diego Ave
San Francisco Tower Suite 409
San Juan, PR 00923
Phone (787) 767-5944

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
I20080126000086 PR Practitioner - Neurology 0042279804 Reassigns benefits to 2 organizations
Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Puerto Rico School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Recinto de Ciencias MedicasGroup PAC ID 3678469962, shared by 49 NPIs, 246 clinicians

Practice addresses (Care Compare)

Ave 65 Infanteria KM 8 HM
3 R.D.C.M. GRP Med Intrna Hac
Carolina, PR 00984-0001
Phone (787) 757-6420

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9912PRMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Recinto de Ciencias Medicas CurrentSince Aug 8, 1990 Accepting new patients
Recinto de Ciencias Medicas Neurology CurrentSince Oct 29, 2021 Accepting new patients
Centro Especializado En Dolor de Cabeza Y Neurologia CSP Neurology Current Accepting new patients
Recinto de Ciencias Medicas CurrentSince Aug 8, 1990 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596672000000",
    "number": "1609847763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 DE DIEGO AVE",
            "address_2": "SAN FRANCISCO TOWER SUITE 409",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00923",
            "telephone_number": "787-767-5944",
            "fax_number": "787-765-5786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 DE DIEGO AVE",
            "address_2": "SAN FRANCISCO TOWER SUITE 409",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00923",
            "telephone_number": "787-767-5944",
            "fax_number": "787-765-5786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANDA DELGADO",
        "first_name": "HECTOR",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PR",
            "license": "9912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.