Individual provider Active NPI

Carlos Gabriel Natal Deliz, DMD

  • Dentist
  • Rio Grande, PR
National Provider Identifier
1922462506
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN23435 Issued in FL
Practice address
Carr. #3 KM. 32.9 Bo. Tres T
Instituto Correccional Zarzal
Rio Grande, PR 00745
Phone
(787) 236-8728
NPI assigned
Apr 8, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN23435 FL Primary

Addresses

Primary practice location

Carr. #3 KM. 32.9 Bo. Tres T
Instituto Correccional Zarzal
Rio Grande, PR 00745

Mailing address

4166 Gauge Line Loop
Tampa, FL 33624-5130
Phone (787) 236-8728

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN23435FLMDDentist

Networks

  • Freedom Health HMO Network

NPI Registry JSON

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

{
    "created_epoch": "1460073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1922462506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4166 GAUGE LINE LOOP",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336245130",
            "telephone_number": "787-236-8728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. #3 KM. 32.9 BO. TRES T",
            "address_2": "INSTITUTO CORRECCIONAL ZARZAL",
            "city": "RIO GRANDE",
            "state": "PR",
            "postal_code": "00745",
            "telephone_number": "787-236-8728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATAL DELIZ",
        "first_name": "CARLOS",
        "middle_name": "GABRIEL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-08",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN23435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Grande, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.