Active NPI
Grisselle Enid Ortiz Rivera, MD
- General Practice Physician
- Manati, PR
National Provider Identifier
1013947423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 15555
- Practice address
- Carr #2 Reparto Curiel Park Hill Apt 1
Manati, PR 00674 - Phone
- (787) 477-9330
- NPI assigned
- Jul 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 15555 | PR | Primary |
Addresses
Primary practice location
Carr #2 Reparto Curiel Park Hill Apt 1
Manati, PR 00674
Mailing address
PO Box 36
Ciales, PR 00638-0036
Phone (787) 477-9330
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071003000522 | PR | Practitioner - General Practice | 5193810315 | Practice locations: Morovis, PR |
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4 9 Carr 633 KM
Morovis, PR 00687
Phone (787) 369-7876
PO Box
Suite 36
Ciales, PR 00638-0036
Hospital & facility affiliations
- Hospicio la Milagrosa, Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Morovis, PR
- NPI 1912059940
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013947423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 36",
"city": "CIALES",
"state": "PR",
"postal_code": "006380036",
"telephone_number": "787-477-9330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR #2 REPARTO CURIEL PARK HILL APT 1",
"city": "MANATI",
"state": "PR",
"postal_code": "00674",
"telephone_number": "787-477-9330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ RIVERA",
"first_name": "GRISSELLE",
"middle_name": "ENID",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "15555",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manati, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.