Individual provider Active NPI

Xavier Delgado-Lopez, MD

  • Student in an Organized Health Care Education/Training Program
  • Coamo, PR
National Provider Identifier
1972186732
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
22237 Issued in PR
Practice address
Urb. Valle Real #90
Coamo, PR 00769
Phone
(787) 400-6185
NPI assigned
Apr 29, 2021
Last updated
Jul 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 22237 PR
Student in an Organized Health Care Education/Training Program 390200000X 22237 PR Primary

Addresses

Primary practice location

Urb. Valle Real #90
Coamo, PR 00769

Mailing address

PO Box 11
Coamo, PR 00769-0011
Phone (787) 400-9519

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
I20220112000763 PR Practitioner - General Practice 1951793512 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Medical Center, Inc CurrentSince Sep 30, 2021 Accepting new patients
Primary Medical Group, C.S.P. CurrentSince Sep 30, 2021 Accepting new patients
Primary Medical Group,C.S.P. General Practice CurrentSince Sep 30, 2021 Accepting new patients
Primary Medical Center Inc General Practice Current Accepting new patients
Primary Medical Center, Inc CurrentSince Sep 30, 2021 Accepting new patients

Locations

24 Calle Mendez Vigo
Ponce, PR 00730
Phone (787) 492-3197

607 Calle Ferrocarril
Ponce, PR 00717
Phone (787) 259-7219

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1619654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1972186732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11",
            "city": "COAMO",
            "state": "PR",
            "postal_code": "007690011",
            "telephone_number": "787-400-9519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. VALLE REAL #90",
            "city": "COAMO",
            "state": "PR",
            "postal_code": "00769",
            "telephone_number": "787-400-6185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELGADO-LOPEZ",
        "first_name": "XAVIER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-29",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22237",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PR",
            "license": "22237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coamo, PR

Sources for this page

Verify at the official NPI Registry.