Healthcare Provider Details

I. General information

NPI: 1578539821
Provider Name (Legal Business Name): MADELYN DELGADO M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/27/2006
Last Update Date: 12/21/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 AVE JESUS T PINERO APT. 10-E, CONDOMINIO HATO REY PLAZA
SAN JUAN PR
00918-4105
US

IV. Provider business mailing address

200 AVE JESUS T PINERO APT. 10-E, CONDOMINIO HATO REY PLAZA
SAN JUAN PR
00918-4105
US

V. Phone/Fax

Practice location:
  • Phone: 787-635-9691
  • Fax: 787-751-1937
Mailing address:
  • Phone: 787-635-9691
  • Fax: 787-751-1937

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number5910
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: