Individual provider Active NPI

Roberto Enrique Osorio Manotas, M.D.

  • Gastroenterology Physician
  • Bayamon, PR
National Provider Identifier
1215123161
Registry record updated Feb 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
20939 Issued in PR
Practice address
Paseo San Pablo #100 Edif Arturo Cadilla Suite 501
Bayamon, PR 00961
Phone
(787) 780-4297
Fax
(787) 798-3110
NPI assigned
Sep 24, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 20939 PR Primary

Addresses

Primary practice location

Paseo San Pablo #100 Edif Arturo Cadilla Suite 501
Bayamon, PR 00961

Mailing address

Paseo San Pablo #100 Edif Arturo Cadilla Suite 501
Bayamon, PR 00961
Phone (787) 780-4297

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
I20170413002508 PR Practitioner - GastroenterologyPractitioner - Internal Medicine 2264728401 Reassigns benefits to 3 organizations
Practice locations: Bayamon, PR

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

100 Paseo San Pablo
Bayamon, PR 00961-7019
Phone (787) 780-4297

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy95
Upper gastrointestinal (GI) endoscopy for acid reflux63

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Salud Integral En la Montana, Inc CurrentSince Aug 19, 2019 Accepting new patients
Centro Medico del Turabo Inc CurrentSince Oct 1, 2021 Accepting new patients
Centro Medico del Turabo Inc CurrentSince Oct 1, 2021 Accepting new patients
VR Gastro PSC Gastroenterology CurrentSince Oct 1, 2020 Accepting new patients
Salud Integral En la Montana, Inc. CurrentSince Aug 19, 2019 Accepting new patients

Locations

70 Calle Santa Cruz
Bayamon, PR 00961
Phone (787) 620-1639

100 Paseo San Pablo
Ste 501
Bayamon, PR 00961
Phone (787) 780-4297

100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261

Interoperability endpoints

  • Direct secure messaging: roberto.osoriomanotas@3291.securemail.prognocis.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549324800000",
    "number": "1215123161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PASEO SAN PABLO #100 EDIF ARTURO CADILLA SUITE 501",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00961",
            "telephone_number": "787-780-4297",
            "fax_number": "787-798-3110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PASEO SAN PABLO #100 EDIF ARTURO CADILLA SUITE 501",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00961",
            "telephone_number": "787-780-4297",
            "fax_number": "787-798-3110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSORIO MANOTAS",
        "first_name": "ROBERTO",
        "middle_name": "ENRIQUE",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-24",
        "last_updated": "2019-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PR",
            "license": "20939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.