NPIMap

Organization Active NPI

Dr. Gerardo Ortiz Lozano-Fisiatra P.S.C.

  • Physical Medicine & Rehabilitation Physician
  • San Juan, PR
National Provider Identifier
1003960188
Registry record updated Feb 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
15163 Issued in PR
Legal business name
DR. GERARDO ORTIZ LOZANO-FISIATRA P.S.C.
Practice address
1789 Carr 21 Ste 405
Torre del Metropolitano
San Juan, PR 00921-3340
Phone
(787) 775-2685
NPI assigned
Jan 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2014

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

Authorized official

Name
Dr. Gerardo Ortiz-Lozano
Title
President
Phone
(787) 638-8415

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X 15163 PR Primary

Addresses

Primary practice location

1789 Carr 21 Ste 405
Torre del Metropolitano
San Juan, PR 00921-3340

Mailing address

29 Calle Niza
Paseo la Brisas
San Juan, PR 00926-5946
Phone (787) 638-8415

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080519000356 PR Part B Supplier - Clinic/Group Practice 2961571856 Receives reassigned benefits from 1 practitioner
Practice locations: Bayamon, PR; San Juan, PR; Vaga Baja, PR

National Provider Directory

National Provider Directory

Locations

550 Calle Cuevas Bustamante
San Juan, PR 00918
Phone (787) 209-7233

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392076800000",
    "number": "1003960188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 CALLE NIZA",
            "address_2": "PASEO LA BRISAS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009265946",
            "telephone_number": "787-638-8415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1789 CARR 21 STE 405",
            "address_2": "TORRE DEL METROPOLITANO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009213340",
            "telephone_number": "787-775-2685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. GERARDO ORTIZ LOZANO-FISIATRA P.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2014-02-11",
        "status": "A",
        "authorized_official_last_name": "ORTIZ-LOZANO",
        "authorized_official_first_name": "GERARDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-638-8415",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PR",
            "license": "15163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.