Noelani Gonzalez Ortiz, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

021269 Issued in PR

Practice address

525 Ave FD Roosevelt
Ste 409 Torre de Plaza
San Juan, PR 00918-8081

Phone

(787) 473-0073

NPI assigned

Mar 23, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Dermatology

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H1722

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.

• Puerto Rico Skin & Laser LLC

  • Dermatology Physician
  • San Juan, PR
  • NPI 1285300251
  Medicare reassignment NPD
• Recinto de Ciencias Medicas

  • Dermatology Physician
  • San Juan, PR
  • NPI 1295760676
  Medicare reassignment
• Arrhythmia Group LLC

  • Clinical Cardiac Electrophysiology Physician
  • Ponce, PR
  • NPI 1437569969
  NPD (past)
• Sr Dermatology LLC

  • Dermatology Physician
  • San Juan, PR
  • NPI 1457267106
  NPD (past)

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

{
    "created_epoch": "1332460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1255607222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CARRION CT APT 402",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009111353",
            "telephone_number": "787-505-9160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 AVE FD ROOSEVELT",
            "address_2": "STE 409 TORRE DE PLAZA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009188081",
            "telephone_number": "787-473-0073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ ORTIZ",
        "first_name": "NOELANI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-23",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PR",
            "license": "021269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFICADO DE INCORPORACION",
            "identifier": "446563",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFICADO DE COMERCIANTE SURI",
            "identifier": "1187256-0010",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ian Andres Gonzalez Montanez
• Camille Marie Gonzalez Morales, MD
• Yanira Gonzalez Nieves
• Cinthia Marie Gonzalez Nunez
• Yomarie Gonzalez Olmo, SLP
• Ricardo Gonzalez Pabon, PHD
• Jahzel Michelle Gonzalez Pagan, M.D.
• Jose Gonzalez Pagan
• Patricia Nicole Gonzalez Pagan
• Sheila M Gonzalez Perez, CSW

• Dermatology Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Dermatology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.