Provider Demographics
NPI:1356937676
Name:DELGADO HIDALGO, ANDRES GABRIEL (MD)
Entity type:Individual
Prefix:
First Name:ANDRES
Middle Name:GABRIEL
Last Name:DELGADO HIDALGO
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:VILLAS UNIVERSITARIA UPR 64
Mailing Address - Street 2:
Mailing Address - City:AGUADILLA
Mailing Address - State:PR
Mailing Address - Zip Code:00603
Mailing Address - Country:US
Mailing Address - Phone:787-428-8174
Mailing Address - Fax:
Practice Address - Street 1:CARR 107 KM 3.4 BO BORINQUEN
Practice Address - Street 2:
Practice Address - City:AGUADILLA
Practice Address - State:PR
Practice Address - Zip Code:00603
Practice Address - Country:US
Practice Address - Phone:787-428-8174
Practice Address - Fax:787-658-6554
Is Sole Proprietor?:No
Enumeration Date:2020-12-21
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR15692-I207R00000X
PR22638208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine