Individual provider Active NPI

Hector Antonio Ortiz Miranda, M.D.

  • Rural Acute Care Hospital
  • Juana Diaz, PR
National Provider Identifier
1265837512
Registry record updated Jul 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Acute Care HospitalTaxonomy code 282NR1301X
License
18926 Issued in PR
Practice address
700 Calle la Fuente
Villas del Prado
Juana Diaz, PR 00795-2760
Phone
(939) 777-1009
NPI assigned
Oct 29, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Acute Care Hospital 282NR1301X 18926 PR Primary

Addresses

Primary practice location

700 Calle la Fuente
Villas del Prado
Juana Diaz, PR 00795-2760

Mailing address

700 Calle la Fuente
Villas del Prado
Juana Diaz, PR 00795-2760
Phone (939) 777-1009

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
I20151112002433 PR Practitioner - General Practice 7517277080 Reassigns benefits to 3 organizations
Practice locations: Juana Diaz, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18926PRMDRural Acute Care Hospital

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Lukes Memorial Hospital Inc CurrentSince Feb 5, 2020 Accepting new patients
Mennonite General Hospital Inc. CurrentSince Apr 29, 2019 Accepting new patients
Mennonite General Hospital Inc CurrentSince Apr 29, 2019 Accepting new patients
Saint Lukes Memorial Hospital Inc CurrentSince Feb 5, 2020 Accepting new patients
Mennonite General Hospital Inc Current Accepting new patients

Locations

917 Ave Tito Castro
Ponce, PR 00716
Phone (787) 560-4314

Organizations & group practices 6

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": "1414540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436140800000",
    "number": "1265837512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 CALLE LA FUENTE",
            "address_2": "VILLAS DEL PRADO",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "007952760",
            "telephone_number": "939-777-1009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 CALLE LA FUENTE",
            "address_2": "VILLAS DEL PRADO",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "007952760",
            "telephone_number": "939-777-1009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ MIRANDA",
        "first_name": "HECTOR",
        "middle_name": "ANTONIO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-29",
        "last_updated": "2015-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "PR",
            "license": "18926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Juana Diaz, PR

Sources for this page

Verify at the official NPI Registry.