Individual provider Active NPI

Israel Pou-Delgado, M.D.

  • Family Medicine Physician
  • Naranjito, PR
National Provider Identifier
1679688063
Registry record updated Dec 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5745 Issued in PR
Practice address
74 Calle Georgetti
Naranjito, PR 00719-3001
Phone
(787) 344-9882
Fax
(787) 869-0580
NPI assigned
Aug 19, 2006
Last updated
Dec 21, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5745 PR Primary

Addresses

Primary practice location

74 Calle Georgetti
Naranjito, PR 00719-3001

Mailing address

HC 67 Box 13130
Suite 7
Bayamon, PR 00956-9501
Phone (787) 344-9882

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
I20040828000090 PR Practitioner - Family Practice 8820063324 Practice locations: Naranjito, PR

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

74 Calle Georgetti
Naranjito, PR 00719-3001
Phone (787) 869-0580

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5745PRMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356048000000",
    "number": "1679688063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 67 BOX 13130",
            "address_2": "SUITE 7",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009569501",
            "telephone_number": "787-344-9882",
            "fax_number": "787-869-0580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 CALLE GEORGETTI",
            "city": "NARANJITO",
            "state": "PR",
            "postal_code": "007193001",
            "telephone_number": "787-344-9882",
            "fax_number": "787-869-0580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POU-DELGADO",
        "first_name": "ISRAEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2012-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "5745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naranjito, PR

Sources for this page

Verify at the official NPI Registry.