Centro Visual Dr Kelvin Ortiz PSC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

550 Issued in PR

Legal business name

CENTRO VISUAL DR KELVIN ORTIZ PSC

Practice address

1 Calle MCK Jones
Villalba, PR 00766-2228

Phone

(787) 847-0091

Fax

(787) 847-0091

NPI assigned

Dec 23, 2013

Last updated

Feb 17, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kelvin Ortiz, O.D.NPI 1780682641

Title

President

Phone

(787) 847-0091

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kelvin Ortiz, O.D.

  • Optometrist
  • Villalba, PR
  • NPI 1780682641
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1387756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424131200000",
    "number": "1255752960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1511",
            "city": "VILLALBA",
            "state": "PR",
            "postal_code": "007661511",
            "telephone_number": "787-847-0091",
            "fax_number": "787-847-0091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CALLE MCK JONES",
            "city": "VILLALBA",
            "state": "PR",
            "postal_code": "007662228",
            "telephone_number": "787-847-0091",
            "fax_number": "787-847-0091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO VISUAL DR KELVIN ORTIZ PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-23",
        "last_updated": "2015-02-17",
        "status": "A",
        "authorized_official_last_name": "ORTIZ",
        "authorized_official_first_name": "KELVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-847-0091",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "PR",
            "license": "550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noralys Camacho
• Karilyn Cardona
• Cdva Corp
• Centro de Pediatria Y Medicina de Familia de Villalba, CSP
• Centro de Recuperacion del Caribe
• CFT Multi Services LLC
• Clinica Dr Marrero LLC
• Clinica Las Americas Guaynabo (Salus @ Work Medtronic Villalba)
• Clinica Quiropractica Mas Vida LLC
• Clinica Visual Villalba

• Medical Specialty Clinic/Center in Villalba, PR
• Providers in Villalba, PR by specialty
• Medical Specialty Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.