MEDICARE: DELERMED HEALTH LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1104757319
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DELERMED HEALTH LLC

Provider Business Mailing Address
First Line	:	PO BOX 14441
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00916-4441
Country	:	US
Telephone Number	:	787-717-1895
Fax Number	:

Provider Business Practice Location Address
First Line	:	463 AVE PONCE DE LEON FLOOR B
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00917-3710
Country	:	US
Telephone Number	:	787-717-1895
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MARIA DEL CARMEN MONTANEZ CONCEPCION
Credential	:
Telephone Number	:	787-717-1895

Provider Enumeration Date	:	05/27/2026
Last Update Date	:	05/27/2026

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