Individual provider Active NPI

Luis J Ortiz-Espinosa, M.D., FAAD

  • Dermatology Physician
  • Carolina, PR
National Provider Identifier
1053390732
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
9468 Issued in PR
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

Updated by the provider on May 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
81923OtherPRTRIPLE-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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100917000595 PR Practitioner - Dermatology 1153446802 Reassigns benefits to 1 organization
Practice locations: Bayamon, PR; Carolina, PR

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 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision57
Removal of skin lesions1487
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy479

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Centro Dermatologico San Pablo, PSC Dermatology CurrentSince Mar 4, 2010 Accepting new patients
RG Dermatology Dermatology PastSince Nov 9, 2017 Accepting new patients
MSV Dermatology Dermatology PastSince Mar 4, 2010 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.

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

Verify at the official NPI Registry.