Edgardo Ortiz Rivera

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

17340 Issued in PR

Practice address

35 Calle Angel G Martinez
Sabana Grande, PR 00637-1818

Phone

(787) 955-6784

NPI assigned

Oct 8, 2008

Sex

Male

Sole proprietor

Yes

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

Specialty

General Practice

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Programa de Servicios de Salud En El Hogar Y Hospicio San Lucas Inc Hospice, Ponce, PR, CCN 401530
• Hospicio la Paz Inc Hospice, Arecibo, PR, CCN 401527

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hospicio la Paz Inc

  • Community Based Hospice Care Agency
  • Arecibo, PR
  • NPI 1609868645
  Care Compare affiliation
• Programa de Servicios de Salud En El Hogar Y Hospicio San Lucas, Inc.

  • Community Based Hospice Care Agency
  • Ponce, PR
  • NPI 1841925161
  Care Compare affiliation

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

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257206400000",
    "number": "1124279112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BO. SUSUA CALLE CEIBA # 113",
            "city": "SABANA GRANDE",
            "state": "PR",
            "postal_code": "006370000",
            "telephone_number": "787-955-6784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 CALLE ANGEL G MARTINEZ",
            "city": "SABANA GRANDE",
            "state": "PR",
            "postal_code": "006371818",
            "telephone_number": "787-955-6784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ RIVERA",
        "first_name": "EDGARDO",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-08",
        "last_updated": "2009-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "17340",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Waldemar Nieves
• Nova Medical Transport LLC
• Arlene Oliveras, PSYD
• Mohandas Oliveras
• Orthotech Orthopedic Group LLC
• Sibel N Pabon Reyes, MD
• Ruben D Pacheco Pacheco, EMT-P
• Iluminade Pacheco, MEDICAL TECHNOLOGYST
• Ricardo Burgos Pacheco, PSICOLOGO
• Yaritza Padilla Torres

• General Practice Physician in Sabana Grande, PR
• Providers in Sabana Grande, 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 Nov 3, 2009; 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.

Verify at the official NPI Registry.