Individual provider Active NPI

Irivette Ojeda, M.D.

  • Family Medicine Physician
  • Cabo Rojo, PR
National Provider Identifier
1215918164
Registry record updated Jul 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
12805 Issued in PR
Practice address
25 Calle Ruiz Belvis
Cabo Rojo, PR 00623-4029
Phone
(787) 254-3410
Fax
(787) 254-3410
NPI assigned
Nov 8, 2005
Last updated
Jul 7, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 12805 PR
Family Medicine Physician 207Q00000X 12805 PR Primary

Addresses

Primary practice location

25 Calle Ruiz Belvis
Cabo Rojo, PR 00623-4029

Mailing address

PO Box 652
Cabo Rojo, PR 00623-0652
Phone (787) 254-3410

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
I20100722000946 PR Practitioner - Family Practice 5890827026 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Puerto Rico School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
M O Primary Specialists PSCGroup PAC ID 9830371582, 2 clinicians

Practice addresses (Care Compare)

25 Calle Ruiz Belvis
Cabo Rojo, PR 00623-4029
Phone (787) 254-3410

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
M O Primary Specialists PSC CurrentSince Feb 6, 2011 Accepting new patients
Aipo,Inc PastSince Feb 6, 2011 Accepting new patients

Locations

25 Calle Ruiz Belvis
Cabo Rojo, PR 00623
Phone (787) 254-3410

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, 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": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436227200000",
    "number": "1215918164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 652",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "006230652",
            "telephone_number": "787-254-3410",
            "fax_number": "787-254-3410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 CALLE RUIZ BELVIS",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "006234029",
            "telephone_number": "787-254-3410",
            "fax_number": "787-254-3410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OJEDA",
        "first_name": "IRIVETTE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-08",
        "last_updated": "2015-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "12805",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "12805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cabo Rojo, PR

Sources for this page

Verify at the official NPI Registry.