Provider Demographics
NPI:1518082957
Name:DELGADO MEJIAS, MILTON OSCAR (MD)
Entity Type:Individual
Prefix:DR
First Name:MILTON
Middle Name:OSCAR
Last Name:DELGADO MEJIAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1501 AVE ASHFORD
Mailing Address - Street 2:COND. PARK TERRACE, APT. 10A
Mailing Address - City:SANTURCE
Mailing Address - State:PR
Mailing Address - Zip Code:00911-1146
Mailing Address - Country:US
Mailing Address - Phone:787-726-6989
Mailing Address - Fax:
Practice Address - Street 1:519 CALLE FELIPE R GOYCO
Practice Address - Street 2:BO. OBRERO
Practice Address - City:SANTURCE
Practice Address - State:PR
Practice Address - Zip Code:00915-3720
Practice Address - Country:US
Practice Address - Phone:787-726-6989
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-21
Last Update Date:2023-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR10066208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR8-22-90Medicare PIN
PRF25934Medicare UPIN