Individual provider Active NPI

Luis E. Ortiz - Gonzalez, MD

  • Anesthesiology Physician
  • Rio Piedras, PR
National Provider Identifier
1205083151
Registry record updated Sep 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
18368 Issued in PR
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

Updated by the provider on Sep 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
18368PRMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Recinto de Ciencias Medicas CurrentSince Sep 1, 2012 Accepting new patients
Recinto de Ciencias Medicas Anesthesiology CurrentSince Sep 1, 2012 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.

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

Verify at the official NPI Registry.