Individual provider Active NPI

Jorge V. Ortega - Gil, M.D.

  • Cardiovascular Disease Physician
  • Rio Piedras, PR
National Provider Identifier
1154468239
Registry record updated Oct 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
3964 Issued in PR
Practice address
Ave Americo Miranda, Esq Centro Medico, Primer Piso
Centro Cardiovascular Depr Y Delcaribe Ste 4
Rio Piedras, PR 00936-6528
Phone
(787) 754-8500
Fax
(787) 274-8156
NPI assigned
Jan 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 3964 PR Primary

Addresses

Primary practice location

Ave Americo Miranda, Esq Centro Medico, Primer Piso
Centro Cardiovascular Depr Y Delcaribe Ste 4
Rio Piedras, PR 00936-6528

Mailing address

1674 Calle Verbena
Urb. San Francisco
Rio Piedras, PR 00927-6231
Phone (787) 754-8500

Other identifiers 1

IdentifierTypeStateIssuer
3964OtherPRLICENCE

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
I20110215000102 PR Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9335329903 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1965
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)

1 ER Piso
Bo. Monacillos Centro Medico de Puerto Ric
Rio Piedras, PR 00935
Phone (787) 754-8500

CCPR Primer Piso
4 Bo. Monacillos Centro Medico de Puerto Ri
Rio Piedras, PR 00935
Phone 78775485001211

Hospital & facility affiliations

  • Centro Cardiovascular de Puerto Rico Y El Caribe Hospital, San Juan, PR, CCN 400124

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3964PRMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Recinto de Ciencias Medicas Cardiovascular Disease CurrentSince Oct 1, 1984 Accepting new patients
Recinto de Ciencias Medicas CurrentSince Oct 1, 1984 Accepting new patients
Recinto de Ciencias Medicas Cardiovascular Disease CurrentSince Oct 1, 1984 Accepting new patients
Recinto de Ciencias Medicas Past Accepting new patients
Corporacion Centro Cardiovascular de Puerto Rico Y del Caribe Past Accepting new patients

Locations

Ccpr Primer Piso
Ste 4
San Juan, PR 00935
Phone 78775485001211

Centro Medico De
San Juan, PR 00935
Phone (781) 763-4149

1er Piso
San Juan, PR 00935

Organizations & group practices 5

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 1

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": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287100800000",
    "number": "1154468239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1674 CALLE VERBENA",
            "address_2": "URB. SAN FRANCISCO",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "009276231",
            "telephone_number": "787-754-8500",
            "fax_number": "787-274-8156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE AMERICO MIRANDA, ESQ CENTRO MEDICO, PRIMER PISO",
            "address_2": "CENTRO CARDIOVASCULAR DEPR Y DELCARIBE STE 4",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "009366528",
            "telephone_number": "787-754-8500",
            "fax_number": "787-274-8156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTEGA - GIL",
        "first_name": "JORGE",
        "middle_name": "V.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2010-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "3964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCE",
            "identifier": "3964",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Piedras, PR

Sources for this page

Verify at the official NPI Registry.