Active NPI
Adelaida T. Ortiz - Gomez, MD
- Internal Medicine Physician
- Rio Piedras, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 13400
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Medicas
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 Centro Comprensivo del Cancer
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Recinto de Ciencias Medicas | Current | Accepting new patients | |
| Recinto de Ciencias Medicas | Internal Medicine | Current | Accepting new patients |
| Recinto de Ciencias Medicas | Internal Medicine | Current | 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.
-
- Internal Medicine Physician
- San Juan, PR
- NPI 1285738583
Internal Medicine, PR
-
- Internal Medicine Physician
- San Juan, PR
- NPI 1467524967
Internal Medicine, PR
-
- Colon & Rectal Surgery Physician
- San Juan, PR
- NPI 1538935051
-
- General Acute Care Hospital
- Rio Piedras, PR
- NPI 1407859036
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.