Individual provider Active NPI

Monica Alexandra Ortiz-Rivera, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • San Juan, PR
National Provider Identifier
1063962058
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
21953 Issued in PR
Practice address
1492 Ave Ponce de Leon Ste 502
San Juan, PR 00907-4024
Phone
(787) 723-5017
Fax
(787) 723-5015
NPI assigned
Oct 13, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 21953 PR
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 21953 PR Primary

Addresses

Primary practice location

1492 Ave Ponce de Leon Ste 502
San Juan, PR 00907-4024

Mailing address

PO Box 11577, Fernandez Juncos Station
San Juan, PR 00910
Phone (787) 723-5017

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
I20230922002547 PR Practitioner - EndocrinologyPractitioner - Internal Medicine 7517311608 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1492 Ave Ponce de Leon
San Juan, PR 00907-4012
Phone (787) 723-5017

Hospital & facility affiliations

  • Hospital Pavia Santurce Hospital, San Juan, PR, CCN 400019
  • Presbyterian Community Hospital Hospital, San Juan, PR, CCN 400001

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21953PRMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mor Endocrine Care LLC Endocrinology, Diabetes & Metabolism CurrentSince Aug 4, 2023 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: monica.ortizrivera@3390.securemail.prognocis.com

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1476316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1063962058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11577, FERNANDEZ JUNCOS STATION",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00910",
            "telephone_number": "787-723-5017",
            "fax_number": "787-723-5015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1492 AVE PONCE DE LEON STE 502",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009074024",
            "telephone_number": "787-723-5017",
            "fax_number": "787-723-5015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ-RIVERA",
        "first_name": "MONICA",
        "middle_name": "ALEXANDRA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-13",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "21953",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "PR",
            "license": "21953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.