Active NPI
Giovanni Alexis Ortiz Diaz, MD
- General Practice Physician
- San Juan, PR
National Provider Identifier
1235655358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 23000
- Practice address
- 33 F2 Calle Higuero
Laderas de San Juan
San Juan, PR 00926 - Phone
- (787) 307-2727
- NPI assigned
- Aug 21, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 23000 | PR | Primary |
Addresses
Primary practice location
33 F2 Calle Higuero
Laderas de San Juan
San Juan, PR 00926
Mailing address
33 Calle Higuero
Laderas de San Juan
San Juan, PR 00926
Phone (787) 307-2727
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physician H.M.O. Inc. | Current | Accepting new patients | |
| Gaod Enterprises LLC | General Practice | Current | Accepting new patients |
Locations
107 Calle Padre Las Casas
San Juan, PR 00918
Phone (787) 294-7801
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.
-
- Intermediate Emergency Medical Technician
- San Juan, PR
- NPI 1730481649
-
- General Practice Physician
- San Juan, PR
- NPI 1659091197
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687996800000",
"number": "1235655358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 CALLE HIGUERO",
"address_2": "LADERAS DE SAN JUAN",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926",
"telephone_number": "787-307-2727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 F2 CALLE HIGUERO",
"address_2": "LADERAS DE SAN JUAN",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926",
"telephone_number": "787-307-2727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ DIAZ",
"first_name": "GIOVANNI",
"middle_name": "ALEXIS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-08-21",
"last_updated": "2023-06-29",
"certification_date": "2023-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "23000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; 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.