Organization Active NPI

Orionmed

  • Medical Specialty Clinic/Center
  • Coto Laurel, PR
National Provider Identifier
1144371121
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
11339 Issued in PR
Legal business name
ORIONMED
Practice address
Torre San Cristobal
Suite 201
Coto Laurel, PR 00780
Phone
(787) 843-3971
Fax
(787) 842-5841
NPI assigned
Jan 16, 2007
Last updated
Jan 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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

Authorized official

Name
Dr. Rafael Manuel Fernandez-Soltero, MDNPI 1336105428
Title
President
Phone
(787) 843-3971

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 11339 PR Primary

Addresses

Primary practice location

Torre San Cristobal
Suite 201
Coto Laurel, PR 00780

Mailing address

PO Box 800809
Coto Laurel, PR 00780-0809
Phone (787) 843-3971

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080328000508 PR Part B Supplier - Clinic/Group Practice 4183700214 Receives reassigned benefits from 3 practitioners
Practice locations: Coto Laurel, PR

National Provider Directory

National Provider Directory

Locations

201 Torre San Cristobal
Coto Laurel, PR 00780
Phone (787) 843-3971

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705536000000",
    "number": "1144371121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 800809",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "007800809",
            "telephone_number": "787-843-3971",
            "fax_number": "787-842-5841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TORRE SAN CRISTOBAL",
            "address_2": "SUITE 201",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "00780",
            "telephone_number": "787-843-3971",
            "fax_number": "787-842-5841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORIONMED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ-SOLTERO",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_middle_name": "MANUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-843-3971",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "PR",
            "license": "11339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coto Laurel, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.