Individual provider Active NPI

Luis Angel Delgado Guzman

  • General Practice Physician
  • Ponce, PR
National Provider Identifier
1619726676
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
23762 Issued in PR
Practice address
819 Ave Hostos
Ponce, PR 00716-1107
Phone
(787) 672-3357
NPI assigned
May 14, 2024
Last updated
May 7, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2026

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 23762 PR Primary

Addresses

Primary practice location

819 Ave Hostos
Ponce, PR 00716-1107

Mailing address

819 Ave Hostos
Ponce, PR 00716-1107
Phone (787) 672-3357

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
I20241028002584 PR Practitioner - General Practice 3072740141 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
S & R Laboratorio Clinico Corp Current Accepting new patients
Municipio Autonomo de Ponce Current Accepting new patients
RS Medical Service Corp Single Specialty CurrentSince Sep 1, 2024 Accepting new patients
RS Medical Service Corp Single Specialty CurrentSince Sep 1, 2024 Accepting new patients
Municipio de Ponce Single Specialty Current Accepting new patients

Organizations & group practices 6

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": "1715644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1619726676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 AVE HOSTOS",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007161107",
            "telephone_number": "787-672-3357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 AVE HOSTOS",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007161107",
            "telephone_number": "787-672-3357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELGADO GUZMAN",
        "first_name": "LUIS",
        "middle_name": "ANGEL",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-14",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "23762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.