Xavier Delgado-Lopez, MD
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Coamo, PR
NPI 1972186732 · NPPES record last updated Jul 18, 2024
Key facts
- NPI
- 1972186732
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- License
- 22237 (PR)
- Practice address
- Urb. Valle Real #90
Coamo, PR 00769 - Phone
- (787) 400-6185
- NPI assigned
- Apr 29, 2021
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220112000763 | PR | Practitioner - General Practice | 1951793512 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22237 | PR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Medical Center, Inc | Current |
Accepting new patients | |
| Primary Medical Group,C.S.P. | General Practice | Current |
Accepting new patients |
| Primary Medical Group, C.S.P. | Current |
Accepting new patients | |
| Primary Medical Center Inc | General Practice | Current | Accepting new patients |
| Primary Medical Center, Inc | Current |
Accepting new patients |
Locations
607 Calle Ferrocarril
Ponce, PR 00717
Phone (787) 259-7219
24 Calle Mendez Vigo
Ponce, PR 00730
Phone (787) 492-3197
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 22237 | PR | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 22237 | PR | Yes |
Addresses
Primary practice location
Urb. Valle Real #90
Coamo, PR 00769
Mailing address
PO Box 11
Coamo, PR 00769-0011
Phone (787) 400-9519
Other providers in Coamo, PR
- Lourdes Ivette Davila Rodriguez
- Katherine Davila
- Marie Sara De Jesus Melendez
- Emma P De Jesus
- Doel Delgado-Lopez
- Delta Emergency Medical Corp
- Arleen Diaz
- Henry Diaz
- Dr Jose a Torres Viruet CSP
- Dra. Judibelle Rivera de Jesus MD, PSC
All providers in Coamo, PR · Student in an Organized Health Care Education/Training Program in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.