Individual provider Active NPI

Jose Alberto Delgado, MD

  • Family Medicine Physician
  • Manati, PR
National Provider Identifier
1699791764
Registry record updated May 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
6398 Issued in PR
Practice address
Carr. # 2 Int. 668
Urb. Atenas Calle Hernandez Carrion
Manati, PR 00674
Phone
(787) 621-3700
Fax
(787) 621-3710
NPI assigned
Jul 14, 2006
Last updated
May 30, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2008

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 6398 PR Primary

Addresses

Primary practice location

Carr. # 2 Int. 668
Urb. Atenas Calle Hernandez Carrion
Manati, PR 00674

Mailing address

PO Box 42
Manati, PR 00674-0042
Phone (787) 621-3700

Other identifiers 6

IdentifierTypeStateIssuer
067191OtherPRCRUZ AZUL
9790020OtherPRHUMANA PUERTO RICO
1112465OtherPRACAA
1112465OtherPRHUMANA GOBIERNO
2-6398OtherPRCIGNA
N405OtherPRINTN'L MEDICAL CARD

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
I20140618001306 PR Practitioner - Family Practice 2466676275 Practice locations: Manati, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6398PRMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
D & D Medical Services, Inc. Family Medicine 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, 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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212105600000",
    "number": "1699791764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 42",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006740042",
            "telephone_number": "787-621-3700",
            "fax_number": "787-621-3710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. # 2 INT. 668",
            "address_2": "URB. ATENAS CALLE HERNANDEZ CARRION",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "00674",
            "telephone_number": "787-621-3700",
            "fax_number": "787-621-3710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELGADO",
        "first_name": "JOSE",
        "middle_name": "ALBERTO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2008-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "6398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL",
            "identifier": "067191",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA PUERTO RICO",
            "identifier": "9790020",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACAA",
            "identifier": "1112465",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA GOBIERNO",
            "identifier": "1112465",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2-6398",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTN'L MEDICAL CARD",
            "identifier": "N405",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manati, PR

Sources for this page

Verify at the official NPI Registry.