Individual provider Active NPI

Ivan Enrique Laboy-Ortiz, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Caguas, PR
National Provider Identifier
1245565696
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
18331 Issued in PR
Practice address
Ave Las Americas BS4 Bairoa
Caguas, PR 00725-5819
Phone
(787) 746-7066
NPI assigned
Oct 2, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 18331 PR Primary

Addresses

Primary practice location

Ave Las Americas BS4 Bairoa
Caguas, PR 00725-5819

Mailing address

PO Box 9341
Caguas, PR 00726-9341
Phone (787) 510-0398

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
I20120921000328 PR Practitioner - EndocrinologyPractitioner - Internal Medicine 2163670829 Reassigns benefits to 1 organization
Practice locations: Caguas, PR

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Avenida Degetau 1
Caguas, PR 00726
Phone (787) 653-5152

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Endopr Ielo LLC Endocrinology, Diabetes & Metabolism CurrentSince Apr 19, 2022 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1254441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1245565696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9341",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007269341",
            "telephone_number": "787-510-0398",
            "fax_number": "939-337-5287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE LAS AMERICAS BS4 BAIROA",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007255819",
            "telephone_number": "787-746-7066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABOY-ORTIZ",
        "first_name": "IVAN",
        "middle_name": "ENRIQUE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-02",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "PR",
            "license": "18331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.