Individual provider Active NPI

Angel Miguel Ortiz Ortega, MD

  • General Practice Physician
  • Humacao, PR
National Provider Identifier
1023573540
Registry record updated Feb 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
21217 Issued in PR
Practice address
Av Font Martelo
Humacao, PR 00791
Phone
(787) 534-3789
NPI assigned
Feb 8, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 21217 PR Primary

Addresses

Primary practice location

Av Font Martelo
Humacao, PR 00791

Mailing address

PO Box 6032
Caguas, PR 00726-6032
Phone (787) 421-4068

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210114000619 PR Practitioner - General Practice 1557774437 Practice locations: Caguas, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Medicina Primaria Y Preventiva - Dr Angel M Ortiz Ortega LLC General Practice CurrentSince Oct 11, 2020 Accepting new patients
Clinica Medicina Primaria Y Preventiva Dr Angel M Ortiz Ortega CurrentSince Oct 11, 2020 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1549584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549584000000",
    "number": "1023573540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6032",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007266032",
            "telephone_number": "787-421-4068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AV FONT MARTELO",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "00791",
            "telephone_number": "787-534-3789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ ORTEGA",
        "first_name": "ANGEL",
        "middle_name": "MIGUEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-08",
        "last_updated": "2019-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "21217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humacao, PR

Sources for this page

Verify at the official NPI Registry.