Active NPI
Luis J Ortiz-Espinosa, M.D., FAAD
- Dermatology Physician
- Carolina, PR
National Provider Identifier
1053390732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 9468
- Practice address
- PQ-28 Ave. El Comandante
Country Club
Carolina, PR 00983 - Phone
- (787) 752-3280
- Fax
- (787) 752-8920
- NPI assigned
- Jan 11, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 9468 | PR | Primary |
Addresses
Primary practice location
PQ-28 Ave. El Comandante
Country Club
Carolina, PR 00983
Mailing address
90 Ave. Rio Hondo PMB 126
Bayamon, PR 00961
Phone (787) 706-1006
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 81923 | Other | PR | TRIPLE-S |
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
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- University of Puerto Rico School of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
64 Calle Santa Cruz
Bayamon, PR 00961-7003
Phone (787) 798-1993
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 57 |
| Removal of skin lesions | 1487 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 479 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centro Dermatologico San Pablo, PSC | Dermatology | Current | Accepting new patients |
| RG Dermatology | Dermatology | Past | Accepting new patients |
| MSV Dermatology | Dermatology | Past | Accepting new patients |
Locations
68 Calle Santa Cruz
Ste 306
Bayamon, PR 00961
Phone (787) 798-1200
PQ26 Ave El Comandante
Carolina, PR 00982
Phone (787) 752-5111
Organizations & group practices 3
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.
-
- Dermatology Physician
- Bayamon, PR
- NPI 1194704882
-
- Dermatology Physician
- Palmas del Mar, Humacao, PR
- NPI 1609515147
-
- Dermatology Physician
- Bayamon, PR
- NPI 1801316039
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494460800000",
"number": "1053390732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 AVE. RIO HONDO PMB 126",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00961",
"telephone_number": "787-706-1006",
"fax_number": "787-269-2822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PQ-28 AVE. EL COMANDANTE",
"address_2": "COUNTRY CLUB",
"city": "CAROLINA",
"state": "PR",
"postal_code": "00983",
"telephone_number": "787-752-3280",
"fax_number": "787-752-8920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ-ESPINOSA",
"first_name": "LUIS",
"middle_name": "J",
"credential": "M.D., FAAD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-11",
"last_updated": "2017-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "PR",
"license": "9468",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIPLE-S",
"identifier": "81923",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Carolina, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.