Individual provider Active NPI

Victor Luis Delgado Colon, M.D.

  • General Practice Physician
  • Manati, PR
National Provider Identifier
1659478972
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
7907 Issued in PR
Practice address
B24 Calle 3
Manati, PR 00674-5409
Phone
(787) 884-3065
NPI assigned
Sep 20, 2006
Last updated
Mar 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 7907 PR
Public Health & General Preventive Medicine Physician 2083P0901X 7907 PR
General Practice Physician 208D00000X 7907 PR Primary

Addresses

Primary practice location

B24 Calle 3
Manati, PR 00674-5409

Mailing address

PO Box 77
Manati, PR 00674-0077
Phone (787) 884-3065

Other identifiers 6

IdentifierTypeStateIssuer
1708OtherPRINTERNATIONAL MEDICAL CAR
0010095OtherPRHUMANA PUERTO RICO
27085OtherPRTRIPLE SSS
PG2091OtherPRPALIC
066236OtherPRCRUZ AZUL
660429847OtherPRCOSVI

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
I20100929000685 PR Practitioner - General Practice 0648396499 Reassigns benefits to 1 organization
Practice locations: Manati, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

B24 Calle
Suite 3
Manati, PR 00674-5409
Phone (787) 884-3065

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7907PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Preventive Management System LLC Public Health & General Preventive Medicine CurrentSince Mar 31, 2018 Accepting new patients

Locations

B24 Calle 3
Manati, PR 00674
Phone (787) 884-3065

Organizations & group practices 4

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1659478972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 77",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006740077",
            "telephone_number": "787-884-3065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "B24 CALLE 3",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006745409",
            "telephone_number": "787-884-3065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELGADO COLON",
        "first_name": "VICTOR",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "7907",
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "PR",
            "license": "7907",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "7907",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERNATIONAL MEDICAL CAR",
            "identifier": "1708",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA PUERTO RICO",
            "identifier": "0010095",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE SSS",
            "identifier": "27085",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALIC",
            "identifier": "PG2091",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL",
            "identifier": "066236",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COSVI",
            "identifier": "660429847",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manati, PR

Sources for this page

Verify at the official NPI Registry.