Individual provider Active NPI

Rosaliz M Portela, MD

  • Ophthalmology Physician
  • San Juan, PR
National Provider Identifier
1235159005
Registry record updated Aug 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
17093 Issued in PR
Practice address
Ave Jesus T Pinero
#1250
San Juan, PR 00918-4109
Phone
(787) 781-2565
Fax
(787) 782-9524
NPI assigned
Jul 21, 2006
Last updated
Aug 6, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 044112 CT
Ophthalmology Physician 207W00000X 17093 PR Primary

Addresses

Primary practice location

Ave Jesus T Pinero
#1250
San Juan, PR 00918-4109

Mailing address

PO Box 10431
San Juan, PR 00922-0431
Phone (787) 781-2565

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
I20080818000673 PR Practitioner - Ophthalmology 1850395245 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Puerto Rico School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centro Oftalmologico Metropolitano CSPGroup PAC ID 4587655204, 20 clinicians

Practice addresses (Care Compare)

1114 Ave Jesus T Pinero
San Juan, PR 00921-1722
Phone (787) 781-3020

1250 Ave Jesus T Pinero
San Juan, PR 00921-1616
Phone (787) 781-3020

Merit-based Incentive Payment System (MIPS)

Final score
61.01 of 100Reported as group
Quality
75.55
Promoting interoperability
0
Improvement activities
40
Cost
77.82

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
044112CTMDOphthalmology Physician
17093PRMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centro Oftalmologico Metropolitano CSP Ophthalmology CurrentSince Aug 1, 2008 Accepting new patients

Locations

1114 Ave Jesus T Pinero
San Juan, PR 00921
Phone (787) 781-3020

1250 Ave Jesus T Pinero
San Juan, PR 00921
Phone (787) 781-2565

Interoperability endpoints

  • Direct secure messaging: roportela@centofmet.direct.eyemdemr.com

Organizations & group practices 1

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281052800000",
    "number": "1235159005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10431",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009220431",
            "telephone_number": "787-781-2565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE JESUS T PINERO",
            "address_2": "#1250",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009184109",
            "telephone_number": "787-781-2565",
            "fax_number": "787-782-9524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTELA",
        "first_name": "ROSALIZ",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2010-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CT",
            "license": "044112",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PR",
            "license": "17093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.