Individual provider Active NPI

Ed Joel Ortega Cortes, M.D.

  • General Practice Physician
  • Moca, PR
National Provider Identifier
1043508237
Registry record updated Mar 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
18276 Issued in PR
Practice address
59 Calle Don Chemary
Moca, PR 00676-4153
Phone
(787) 877-9680
Fax
(787) 877-9680
NPI assigned
Jul 21, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2017

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 18276 PR Primary

Addresses

Primary practice location

59 Calle Don Chemary
Moca, PR 00676-4153

Mailing address

PO Box 215
Moca, PR 00676-0215
Phone (787) 424-9004

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
I20111018000196 PR Practitioner - General Practice 7315119310 Practice locations: Moca, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

59 Calle Don Chemary
Moca, PR 00676-4153
Phone (939) 230-0108

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Aguadilla Medical Services, Inc Past Accepting new patients

Organizations & group practices 1

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": "1311206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488412800000",
    "number": "1043508237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 215",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "006760215",
            "telephone_number": "787-424-9004",
            "fax_number": "787-780-3236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 CALLE DON CHEMARY",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "006764153",
            "telephone_number": "787-877-9680",
            "fax_number": "787-877-9680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTEGA CORTES",
        "first_name": "ED",
        "middle_name": "JOEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-21",
        "last_updated": "2017-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "18276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moca, PR

Sources for this page

Verify at the official NPI Registry.