Individual provider Active NPI

Brenda Luz Orta, MD

  • Family Medicine Physician
  • Las Marias, PR
National Provider Identifier
1083661045
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
12647 Issued in PR
Practice address
81 Matias Brugman
Las Marias, PR 00670
Phone
(787) 827-2433
Fax
(787) 827-2433
NPI assigned
May 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 12647 PR Primary

Addresses

Primary practice location

81 Matias Brugman
Las Marias, PR 00670

Mailing address

PO Box 6431
Mayaguez, PR 00681-6431
Phone (787) 827-2433

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
I20130109000191 PR Practitioner - Family Practice 6901059625 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

81 Ave Matias Brugman
Las Marias, PR 00670-2008
Phone (787) 827-2433

Hospital & facility affiliations

  • Mayaguez Medical Center Dr Ramon Emeterio Betances Hospital, Mayaguez, PR, CCN 400103

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ayala Orta Medical Service PSC Family Medicine CurrentSince Nov 1, 2012 Accepting new patients
Mayaguez Medical Center Dr Ramon Emeterio Betances Inc Past Accepting new patients

Locations

81 Ave Matias Brugman
Las Marias, PR 00670
Phone (787) 827-2433

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.

Hospital & facility affiliations 1

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": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083661045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6431",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006816431",
            "telephone_number": "787-827-2433",
            "fax_number": "787-827-2433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 MATIAS BRUGMAN",
            "city": "LAS MARIAS",
            "state": "PR",
            "postal_code": "00670",
            "telephone_number": "787-827-2433",
            "fax_number": "787-827-2433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTA",
        "first_name": "BRENDA",
        "middle_name": "LUZ",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "12647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Marias, PR

Sources for this page

Verify at the official NPI Registry.