Individual provider Active NPI

Elena Gonzalez Ortiz, M.D.

  • General Practice Physician
  • Cidra, PR
National Provider Identifier
1275529877
Registry record updated Nov 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
6768 Issued in PR
Practice address
2 Padilla El Caribe
Cidra, PR 00739-3334
Phone
(787) 739-8340
Fax
(787) 739-9643
NPI assigned
Sep 20, 2005
Last updated
Nov 18, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 6768 PR Primary

Addresses

Primary practice location

2 Padilla El Caribe
Cidra, PR 00739-3334

Mailing address

2 Padilla El Caribe
Cidra, PR 00739-3334
Phone (787) 739-8340

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
I20100225000285 PR Practitioner - General Practice 5092859215 Practice locations: Cidra, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6768PRMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479427200000",
    "number": "1275529877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 PADILLA EL CARIBE",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "007393334",
            "telephone_number": "787-739-8340",
            "fax_number": "787-739-9643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 PADILLA EL CARIBE",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "007393334",
            "telephone_number": "787-739-8340",
            "fax_number": "787-739-9643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ ORTIZ",
        "first_name": "ELENA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-20",
        "last_updated": "2016-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "6768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cidra, PR

Sources for this page

Verify at the official NPI Registry.