Individual provider Active NPI

Aurea L Delgado Rodriguez, MD

  • Dermatology Physician
  • San Juan, PR
National Provider Identifier
1649254657
Registry record updated Sep 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
13332 Issued in PR
Practice address
19 Calle Acuario
Suite 4 Plaza Vanus Gardens
San Juan, PR 00926-4902
Phone
(787) 293-0580
Fax
(787) 293-0589
NPI assigned
Dec 2, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 13332 PR Primary

Addresses

Primary practice location

19 Calle Acuario
Suite 4 Plaza Vanus Gardens
San Juan, PR 00926-4902

Mailing address

Via Paris Le89 la Antigua Urb Encantada
Trujillo Alto, PR 00976
Phone (787) 293-0580

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
I20101025001166 PR Practitioner - Dermatology 4880887652 Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Puerto Rico School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

19 Calle Acuario
San Juan, PR 00926-4933
Phone (787) 293-0580

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions214
Removal of nail tissue1-10
Removal or shaving of skin growth636
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
San Antonio Medical,P.S.C. 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283990400000",
    "number": "1649254657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "VIA PARIS LE89 LA ANTIGUA URB ENCANTADA",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "00976",
            "telephone_number": "787-293-0580",
            "fax_number": "787-293-0589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 CALLE ACUARIO",
            "address_2": "SUITE 4 PLAZA VANUS GARDENS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009264902",
            "telephone_number": "787-293-0580",
            "fax_number": "787-293-0589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELGADO RODRIGUEZ",
        "first_name": "AUREA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-02",
        "last_updated": "2010-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PR",
            "license": "13332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.