Ivan Jose Ortiz Colon

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

23405 Issued in PR

Practice address

Carr. PR 21 Int. PR 18 Bo. Monacillo Urbano
San Juan, PR 00927

Phone

(787) 936-1477

NPI assigned

Apr 5, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Hospital Pediatrico Universitario

  • Children's Hospital
  • Rio Piedras, PR
  • NPI 1790087492
  NPD (past)

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1265173439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 3 BOX 8225",
            "city": "BARRANQUITAS",
            "state": "PR",
            "postal_code": "007948645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. PR 21 INT. PR 18 BO. MONACILLO URBANO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00927",
            "telephone_number": "787-936-1477"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Bo. Monacillo Rio Piedras, Centro Medico de Puerto Rico",
            "address_purpose": "LOCATION",
            "city": "Rio Piedras",
            "state": "PR",
            "postal_code": "00921",
            "country_code": "US",
            "telephone_number": "787-777-3535",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Calle Sergio Cuevas Bustamante",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009364708",
            "country_code": "US",
            "telephone_number": "787-758-8383 x8494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORTIZ COLON",
        "first_name": "IVAN",
        "middle_name": "JOSE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-05",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "23405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rubi Del Mar Ortiz Burgos, MD
• Kiara Crystal Ortiz Camacho, MD
• Lourmarith Ortiz Carrasquillo, MD
• Veronica Liza Ortiz Carro
• Alexandra Ortiz Cartagena, MD
• Kristian Nagel Ortiz Colon, OTA
• Yolanis Ortiz Colon
• Francisco Ortiz Corrada, MD
• Zinnarky Kiani Ortiz Correa
• Eddiemar Ortiz Cruz, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; 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.

Verify at the official NPI Registry.