Individual provider Active NPI

Pedro Gil Solivan Ortiz, M.D.

  • Oncology Clinic/Center
  • Rio Piedras, PR
National Provider Identifier
1104010651
Registry record updated Jan 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oncology Clinic/CenterTaxonomy code 261QX0200X
License
17625 Issued in PR
Practice address
369 Ave Jose de Diego
Torre San Francisco Oficina 603
Rio Piedras, PR 00923
Phone
(787) 753-6022
Fax
(787) 753-6066
NPI assigned
Aug 28, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Oncology Clinic/Center 261QX0200X 17625 PR Primary
Hematology & Oncology Physician 207RH0003X 17625 PR
General Acute Care Hospital 282N00000X 17625 PR

Addresses

Primary practice location

369 Ave Jose de Diego
Torre San Francisco Oficina 603
Rio Piedras, PR 00923

Mailing address

Torre San Francisco #369 Ave. de Diego Ofic 603
San Juan, PR 00923
Phone (787) 753-6022

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
I20160511001314 PR Practitioner - Hematology/Oncology 7911296124 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

369 Calle de Diego
Suite 603
San Juan, PR 00923-3005
Phone (787) 753-6022

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17625PRMDOncology Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Sick Blood Med Serv CSP Hematology & Oncology CurrentSince Feb 26, 2016 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580169600000",
    "number": "1104010651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "TORRE SAN FRANCISCO #369 AVE. DE DIEGO OFIC 603",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00923",
            "telephone_number": "787-753-6022",
            "fax_number": "787-753-6066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "369 AVE JOSE DE DIEGO",
            "address_2": "TORRE SAN FRANCISCO OFICINA 603",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "00923",
            "telephone_number": "787-753-6022",
            "fax_number": "787-753-6066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLIVAN ORTIZ",
        "first_name": "PEDRO",
        "middle_name": "GIL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-28",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QX0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology",
            "state": "PR",
            "license": "17625",
            "primary": true
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "PR",
            "license": "17625",
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "PR",
            "license": "17625",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Piedras, PR

Sources for this page

Verify at the official NPI Registry.