Individual provider Active NPI

Sorivette Surillo-Ortiz, MD

  • Family Medicine Physician
  • Yabucoa, PR
National Provider Identifier
1073035390
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
21946 Issued in PR
Practice address
Calle Munoz Rivera No 33
Yabucoa, PR 00767
Phone
(939) 237-7989
NPI assigned
Jul 7, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 21946 PR Primary

Addresses

Primary practice location

Calle Munoz Rivera No 33
Yabucoa, PR 00767

Mailing address

Urb Praderas de Navarro Calle Malaquita 239
Gurabo, PR 00778
Phone (787) 236-2422

Other practice location 1

Ave El Jibaro Carr #172 Km 13.5 Bo Bayamon
Cidra, PR 00739-3714
Phone (787) 739-8182

Other identifiers 1

IdentifierTypeStateIssuer
125071436OtherILSTATE LICENSE NUMBER

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
I20201006000964 PR Practitioner - Family Practice 6709205040 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cossma, Inc. CurrentSince Sep 8, 2020 Accepting new patients
Cossma Inc CurrentSince Sep 8, 2020 Accepting new patients

Locations

186 Calle Munoz Rivera S
San Lorenzo, PR 00754
Phone (787) 736-1090

Organizations & group practices 2

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": "1499385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1073035390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB PRADERAS DE NAVARRO CALLE MALAQUITA 239",
            "city": "GURABO",
            "state": "PR",
            "postal_code": "00778",
            "telephone_number": "787-236-2422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE MUNOZ RIVERA NO 33",
            "city": "YABUCOA",
            "state": "PR",
            "postal_code": "00767",
            "telephone_number": "939-237-7989"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Ave El Jibaro Carr #172 Km 13.5 Bo Bayamon",
            "address_purpose": "LOCATION",
            "city": "Cidra",
            "state": "PR",
            "postal_code": "007393714",
            "country_code": "US",
            "telephone_number": "787-739-8182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SURILLO-ORTIZ",
        "first_name": "SORIVETTE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-07",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "21946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "125071436",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yabucoa, PR

Sources for this page

Verify at the official NPI Registry.