Gladys Del Carmen Ortiz Pagan, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

7911 Issued in PR

Practice address

44 Calle Rius Rivera
Cabo Rojo, PR 00623-3437

Phone

(787) 851-0165

Fax

(787) 851-0165

NPI assigned

Oct 20, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356048000000",
    "number": "1124017215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 593",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "006230593",
            "telephone_number": "787-851-0165",
            "fax_number": "787-851-0165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 CALLE RIUS RIVERA",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "006233437",
            "telephone_number": "787-851-0165",
            "fax_number": "787-851-0165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ PAGAN",
        "first_name": "GLADYS",
        "middle_name": "DEL CARMEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-20",
        "last_updated": "2012-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "7911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1124017215",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marvin Olivo Justiniano, PA
• Brian Jomar Olivo Marti, MD
• Optica Perichi Cuidado Visual Eben-Ezer
• Carlos Antonio Ortiz - Soto, MD
• Danica Mariel Ortiz Ortiz, OD
• Lizybeth Ortiz Soto, M.D.
• Lynnette Ortiz Toro, M.D.
• Sarah Rubi Ortiz-Rodriguez, M.D.
• Lizvette Ortiz, DENTIST
• Luis Carlos Ortiz, M.D.

• General Practice Physician in Cabo Rojo, PR
• Providers in Cabo Rojo, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.