Individual provider Active NPI

Adelaida T. Ortiz - Gomez, MD

  • Internal Medicine Physician
  • Rio Piedras, PR
National Provider Identifier
1124070537
Registry record updated Mar 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
13400 Issued in PR
Practice address
Clinica de la Escuela de Medicina
Shopping Reparto, Ave. Americo Miranda
Rio Piedras, PR 00921
Phone
(787) 758-7910
NPI assigned
May 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 13400 PR Primary

Addresses

Primary practice location

Clinica de la Escuela de Medicina
Shopping Reparto, Ave. Americo Miranda
Rio Piedras, PR 00921

Mailing address

541 North Coast Village
Vega Alta, PR 00692
Phone (787) 915-5247

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
I20120525000474 PR Practitioner - Internal Medicine 4688837859 Reassigns benefits to 2 organizations
Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Puerto Rico School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Recinto de Ciencias MedicasGroup PAC ID 3678469962, 246 clinicians

Practice addresses (Care Compare)

Ave 65 Infanteria KM 8 HM
3 R.D.C.M. GRP Med Intrna Hac
Carolina, PR 00984-0001
Phone (787) 757-6420

Hospital & facility affiliations

  • Hospital Universitario de Adulto Hospital, Rio Piedras, PR, CCN 400061
  • Hospital Centro Comprensivo del Cancer Hospital, San Juan, PR, CCN 400135

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Recinto de Ciencias Medicas CurrentSince Aug 30, 2002 Accepting new patients
Recinto de Ciencias Medicas Internal Medicine CurrentSince Aug 30, 2002 Accepting new patients
Recinto de Ciencias Medicas Internal Medicine CurrentSince Feb 3, 2021 Accepting new patients
Departamento de Salud Oficial Past Accepting new patients

Locations

BO Monacillos Ctro Medico
San Juan, PR 00935

Organizations & group practices 4

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 2

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332892800000",
    "number": "1124070537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 NORTH COAST VILLAGE",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "00692",
            "telephone_number": "787-915-5247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CLINICA DE LA ESCUELA DE MEDICINA",
            "address_2": "SHOPPING REPARTO, AVE. AMERICO MIRANDA",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "00921",
            "telephone_number": "787-758-7910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ - GOMEZ",
        "first_name": "ADELAIDA",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2012-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "13400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Piedras, PR

Sources for this page

Verify at the official NPI Registry.