Individual provider Active NPI

Yamarie Ortiz, MD

  • General Practice Physician
  • Ponce, PR
National Provider Identifier
1073028619
Registry record updated Feb 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
19807 Issued in PR
Practice address
Carr 132 KM 22.1 Bo Canas
Suite B
Ponce, PR 00728
Phone
(787) 812-3930
NPI assigned
Dec 5, 2017
Last updated
Feb 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 19807 PR Primary

Addresses

Primary practice location

Carr 132 KM 22.1 Bo Canas
Suite B
Ponce, PR 00728

Mailing address

Buzon 15403
Urb. Paseos de Jacaranda
Santa Isabel, PR 00757
Phone (787) 207-8613

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
I20201021000877 PR Practitioner - General Practice 3375963986 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19807PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
S & R Laboratorio Clinico Corp Current Accepting new patients
Integrate Community Health System CurrentSince Mar 1, 2021 Accepting new patients
Integrate Community Health System Current Accepting new patients
RS Medical Service Corp CurrentSince Oct 9, 2020 Accepting new patients
RS Medical Service Corp CurrentSince Oct 9, 2020 Accepting new patients
Integrate Community Health System, Inc. CurrentSince Mar 1, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: yamarie.ortiz@3479.securemail.prognocis.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1512432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614038400000",
    "number": "1073028619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BUZON 15403",
            "address_2": "URB. PASEOS DE JACARANDA",
            "city": "SANTA ISABEL",
            "state": "PR",
            "postal_code": "00757",
            "telephone_number": "787-207-8613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 132 KM 22.1 BO CANAS",
            "address_2": "SUITE B",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00728",
            "telephone_number": "787-812-3930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "YAMARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-05",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "19807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.