Active NPI
Luis E. Ortiz - Gonzalez, MD
- Anesthesiology Physician
- Rio Piedras, PR
National Provider Identifier
1205083151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 18368
- Practice address
- Anestesiologia RCM
Centro Medico de Puerto Rico, Bo. Monacillos
Rio Piedras, PR 00935-2116 - Phone
- (787) 758-0640
- Fax
- (787) 758-1327
- NPI assigned
- Aug 22, 2008
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 18368 | PR | Primary |
Addresses
Primary practice location
Anestesiologia RCM
Centro Medico de Puerto Rico, Bo. Monacillos
Rio Piedras, PR 00935-2116
Mailing address
Anestesiologia RCM
Edif. Principal RCM Piso9 Ofic. 983 Centro Medico de PR
Rio Piedras, PR 00935-2116
Phone (787) 758-0640
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 |
|---|---|---|---|---|
| I20120927000440 | PR | Practitioner - Anesthesiology | 1052560505 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18368 | PR | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Recinto de Ciencias Medicas | Current | Accepting new patients | |
| Recinto de Ciencias Medicas | Anesthesiology | Current | Accepting new patients |
Locations
Centro Medico De Puerto Rico Bo Monacillos
San Juan, PR 00935
Centro Medico De Puerto Ri
San Juan, PR 00935
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- Rio Piedras, PR
- NPI 1770522856
Anesthesiology, PR
-
- Colon & Rectal Surgery Physician
- San Juan, PR
- NPI 1538935051
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348012800000",
"number": "1205083151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ANESTESIOLOGIA RCM",
"address_2": "EDIF. PRINCIPAL RCM PISO9 OFIC. 983 CENTRO MEDICO DE PR",
"city": "RIO PIEDRAS",
"state": "PR",
"postal_code": "009352116",
"telephone_number": "787-758-0640",
"fax_number": "787-758-1327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ANESTESIOLOGIA RCM",
"address_2": "CENTRO MEDICO DE PUERTO RICO, BO. MONACILLOS",
"city": "RIO PIEDRAS",
"state": "PR",
"postal_code": "009352116",
"telephone_number": "787-758-0640",
"fax_number": "787-758-1327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ - GONZALEZ",
"first_name": "LUIS",
"middle_name": "E.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-22",
"last_updated": "2012-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "PR",
"license": "18368",
"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 Sep 19, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.