Individual provider Active NPI

Freddie Irizarry-Delgado, MD

  • General Practice Physician
  • Ponce, PR
National Provider Identifier
1790342491
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
24187 Issued in PR
Practice address
34 Calle Virtud
Ponce, PR 00730-3802
Phone
(787) 449-7910
NPI assigned
May 29, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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 24187 PR Primary

Addresses

Primary practice location

34 Calle Virtud
Ponce, PR 00730-3802

Mailing address

42 Calle Castillo
Ponce, PR 00730-3741
Phone (787) 525-8628

Other practice location 1

15 Calle Doctor Basora
Mayaguez, PR 00681
Phone (787) 834-0101

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
I20250228000233 PR Practitioner - General Practice 4385164722 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Yaguez, Inc. CurrentSince Jan 29, 2025 Accepting new patients
Clinica Yaguez, Inc CurrentSince Jan 29, 2025 Accepting new patients

Locations

117 Calle Ramon Valdes
Mayaguez, PR 00680
Phone (787) 832-8445

Interoperability endpoints

  • Direct secure messaging: freddie.irrizarrydelgado@4048.securemail.prognocis.com

Organizations & group practices 2

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": "1559088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1790342491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 CALLE CASTILLO",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007303741",
            "telephone_number": "787-525-8628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 CALLE VIRTUD",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007303802",
            "telephone_number": "787-449-7910"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Calle Doctor Basora",
            "address_purpose": "LOCATION",
            "city": "Mayaguez",
            "state": "PR",
            "postal_code": "00681",
            "country_code": "US",
            "telephone_number": "787-834-0101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IRIZARRY-DELGADO",
        "first_name": "FREDDIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-29",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "24187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.