Active NPI
Carlos Reinaldo Ortiz
- General Practice Physician
- Caguas, PR
National Provider Identifier
1285289942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 21497
- Practice address
- 100 Ave Luis Munoz Marin
Caguas, PR 00725-6184 - Phone
- (787) 653-6060
- NPI assigned
- Aug 8, 2019
- Last updated
- Aug 8, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 21497 | PR | Primary |
Addresses
Primary practice location
100 Ave Luis Munoz Marin
Caguas, PR 00725-6184
Mailing address
400 Grand Blvd Los Prados Apt 3-302
Caguas, PR 00727-3245
Phone (787) 613-2991
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240229004526 | PR | Practitioner - General Practice | 3072958925 | Practice locations: San Juan, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21497 | PR | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565222400000",
"number": "1285289942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 GRAND BLVD LOS PRADOS APT 3-302",
"city": "CAGUAS",
"state": "PR",
"postal_code": "007273245",
"telephone_number": "787-613-2991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 AVE LUIS MUNOZ MARIN",
"city": "CAGUAS",
"state": "PR",
"postal_code": "007256184",
"telephone_number": "787-653-6060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ",
"first_name": "CARLOS",
"middle_name": "REINALDO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-08",
"last_updated": "2019-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "21497",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Caguas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2019; 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.