Active NPI
Walter Cortes Ortiz, MD
- Emergency Medicine Physician
- Carolina, PR
National Provider Identifier
1063403202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 4043
- Practice address
- Avda Fragoso 3KS-5
Villa Fontana
Carolina, PR 00983 - Phone
- (787) 752-6500
- Fax
- (787) 752-6444
- NPI assigned
- Nov 4, 2005
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 4043 | PR | Primary |
Addresses
Primary practice location
Avda Fragoso 3KS-5
Villa Fontana
Carolina, PR 00983
Mailing address
PO Box 9341
Carolina, PR 00988-9341
Phone (787) 752-6500
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 |
|---|---|---|---|
| 4043 | PR | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411344000000",
"number": "1063403202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9341",
"city": "CAROLINA",
"state": "PR",
"postal_code": "009889341",
"telephone_number": "787-752-6500",
"fax_number": "787-752-6444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVDA FRAGOSO 3KS-5",
"address_2": "VILLA FONTANA",
"city": "CAROLINA",
"state": "PR",
"postal_code": "00983",
"telephone_number": "787-752-6500",
"fax_number": "787-752-6444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORTES ORTIZ",
"first_name": "WALTER",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-04",
"last_updated": "2014-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PR",
"license": "4043",
"primary": true
}
],
"identifiers": [],
"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 Sep 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.