Active NPI
Juan R. Ortiz Guevara, M.D.
- Geriatric Medicine (Family Medicine) Physician
- Humacao, PR
National Provider Identifier
1053383323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- License
- 7929
- Practice address
- Font Martelo 358 Suite 204
Humacao, PR 00791 - Phone
- (787) 852-3929
- Fax
- (787) 852-3910
- NPI assigned
- Feb 2, 2006
- Last updated
- Sep 26, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | 7929 | PR | Primary |
Addresses
Primary practice location
Font Martelo 358 Suite 204
Humacao, PR 00791
Mailing address
P.M.B. 2111 P.O.Box 4956
Caguas, PR 00726
Phone (787) 852-3929
Other names 1
- Dr. Juan R. Ortiz Guevara
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7929 | PR | MD | Geriatric Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centro de Servicios Medicos de Pena Pobre | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/AHGFDD/Endpoint/AHGFDD
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- State or Local Public Health Clinic/Center
- Naguabo, PR
- NPI 1689619660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348617600000",
"number": "1053383323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.M.B. 2111 P.O.BOX 4956",
"city": "CAGUAS",
"state": "PR",
"postal_code": "00726",
"telephone_number": "787-852-3929",
"fax_number": "787-852-3910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "FONT MARTELO 358 SUITE 204",
"city": "HUMACAO",
"state": "PR",
"postal_code": "00791",
"telephone_number": "787-852-3929",
"fax_number": "787-852-3910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ GUEVARA",
"first_name": "JUAN",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-02",
"last_updated": "2012-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "PR",
"license": "7929",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JUAN",
"last_name": "ORTIZ GUEVARA",
"middle_name": "R.",
"prefix": "DR.",
"credential": "M.D,",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Humacao, PR
- Carmen Vanessa Oquendo, M.D.
- Oriental Ambulance Services, Inc.
- Madelyn Ortiz Brito, MA, OT/L
- Karla M Ortiz Cruz, PSY
- Vanessa L Ortiz Gonzalez, MD
- Julio Ortiz McWilliam, M.D.
- Angel Miguel Ortiz Ortega, MD
- Aleshka Glizett Ortiz Rojas
- Aida Luz Ortiz- Martinez, PH.D; PSY.D.
- Melvin Enrique Ortiz-Acevedo, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.