Individual provider Active NPI

Cesar Ortiz de Jesus

  • Physician Assistant
  • Toa Alta, PR
National Provider Identifier
1275423477
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
000870 Issued in PR
Practice address
695 Calle Guajataca
Toa Alta, PR 00953-5110
Phone
(787) 529-8177
NPI assigned
Jul 8, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 000870 PR Primary

Addresses

Primary practice location

695 Calle Guajataca
Toa Alta, PR 00953-5110

Mailing address

Palacios del Rio 2
695 Calle Guajataca
Toa Alta, PR 00953-5110
Phone (787) 529-8177

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251216003649 PR Practitioner - Physician Assistant 8628563731 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
San Juan Bautista School of Medicine, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1401 S Military TRL
Suite C
West Palm Beach, FL 33415-5721

Palacios del Rio 2
Toa Alta, PR 00953

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
870PRMDChiropractor
000870PRMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Coral Way Center Corp CurrentSince Nov 1, 2025 Accepting new patients

Locations

1401 S Military Trl
Ste C
West Palm Beach, FL 33415
Phone (561) 346-5499

66 Calle Santa Cruz
Ste 304
Bayamon, PR 00961
Phone (561) 429-3122

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": "1751932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751932800000",
    "number": "1275423477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PALACIOS DEL RIO 2",
            "address_2": "695 CALLE GUAJATACA",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "009535110",
            "telephone_number": "787-529-8177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 CALLE GUAJATACA",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "009535110",
            "telephone_number": "787-529-8177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ DE JESUS",
        "first_name": "CESAR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-07-08",
        "last_updated": "2025-07-08",
        "certification_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PR",
            "license": "000870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toa Alta, PR

Sources for this page

Verify at the official NPI Registry.