Individual provider Active NPI

Ileana C Rodriguez Delgado, MD

  • General Practice Physician
  • Carolina, PR
National Provider Identifier
1932187697
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
14398 Issued in PR
Practice address
Ave Campo Rico A6
Castellano Galvez
Carolina, PR 00983
Phone
(787) 752-7897
Fax
(787) 768-0689
NPI assigned
Jan 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 14398 PR Primary

Addresses

Primary practice location

Ave Campo Rico A6
Castellano Galvez
Carolina, PR 00983

Mailing address

PO Box 3762
Carolina, PR 00984-3762
Phone (787) 752-7897

Other practice location 1

Ave Roberto Sanchez Vilella A6
Castellana Gardens
Carolina, PR 00983
Phone (787) 752-7897

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
I20031110000590 PR Practitioner - General Practice 6204749807 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14398PRMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Wound & Skin Care LLC General Practice CurrentSince Aug 18, 2024 Accepting new patients
Policlinica Dr. Luis Rodriguez Carrasquillo, PSC CurrentSince Nov 3, 2011 Accepting new patients

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": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1932187697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3762",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009843762",
            "telephone_number": "787-752-7897",
            "fax_number": "787-758-0589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE CAMPO RICO A6",
            "address_2": "CASTELLANO GALVEZ",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00983",
            "telephone_number": "787-752-7897",
            "fax_number": "787-768-0689"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Ave Roberto Sanchez Vilella A6",
            "address_2": "Castellana Gardens",
            "address_purpose": "LOCATION",
            "city": "Carolina",
            "state": "PR",
            "postal_code": "00983",
            "country_code": "US",
            "telephone_number": "787-752-7897",
            "fax_number": "787-768-0689",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ DELGADO",
        "first_name": "ILEANA",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-04",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "14398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

Verify at the official NPI Registry.