Active NPI
Ileana C Rodriguez Delgado, MD
- General Practice Physician
- Carolina, PR
National Provider Identifier
1932187697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 14398
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 14398 | PR | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Wound & Skin Care LLC | General Practice | Current | Accepting new patients |
| Policlinica Dr. Luis Rodriguez Carrasquillo, PSC | Current | 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.
-
- Health Service Clinic/Center
- Carolina, PR
- NPI 1346570207
PR
-
- Health Service Clinic/Center
- Carolina, PR
- NPI 1447081492
General Practice
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
- Vincent X Rodriguez Bury, M.D.
- Jeremy Swan Rodriguez Camejo, PHD
- Francis J. Rodriguez Carrasquillo, R.P.T
- Carla Nicole Rodriguez Cortes, MA
- Miguel Rodriguez Cruz, M.D.
- Ricardo Luis Rodriguez Delgado, M.D.
- Soriann Michelle Rodriguez Diaz, MD
- Idalisabel Rodriguez Gines, PSY.D
- Jose A Rodriguez Gonzalez, DC
- Zuleika Rodriguez Hernandez
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.