Glorymar Ortiz Cordero, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

019508 Issued in PR

Practice address

Bo Monacillo Centro Medico de Puerto Rico
Hospital San Juan Dept de Pediatria 3ER Nivel
Rio Piedras, PR 00936

Phone

(787) 637-1373

NPI assigned

Jul 29, 2014

Last updated

Dec 1, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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

Locations

Interoperability endpoints

• Direct secure messaging: sjcglortiz@yourcarecommunity.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Centro de Medicina Primaria VA

  • General Practice Physician
  • Vega Alta, PR
  • NPI 1184708448
  Medicare reassignment NPD
• Centro Medicina Primaria Vega Alta

  • Emergency Care Clinic/Center
  • Vega Alta, PR
  • NPI 1194183558
  NPD
• Noah Ark Pediatric Clinic LLC

  • Pediatrics Physician
  • Naranjito, PR
  • NPI 1275343709
  NPD

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

{
    "created_epoch": "1406592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512086400000",
    "number": "1295143758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 6 BOX 15133",
            "city": "COROZAL",
            "state": "PR",
            "postal_code": "007837945",
            "telephone_number": "787-637-1373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BO MONACILLO CENTRO MEDICO DE PUERTO RICO",
            "address_2": "HOSPITAL SAN JUAN DEPT DE PEDIATRIA 3ER NIVEL",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "00936",
            "telephone_number": "787-637-1373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ CORDERO",
        "first_name": "GLORYMAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-29",
        "last_updated": "2017-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PR",
            "license": "31113-R",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "019508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Optica Rio Piedras
• Brenda Lee Orta Rodriguez, RPT
• Jorge V. Ortega - Gil, M.D.
• Adelaida T. Ortiz - Gomez, MD
• Luis E. Ortiz - Gonzalez, MD
• Jonathan Ortiz Pina Sr.
• Alberto Ortiz, M.D.
• Idith Rita Ortiz, MD, MPH
• Melany Marie Ortiz, M.D.
• Pablo Antonio Ortizcerezo, MD

• Pediatrics Physician in Rio Piedras, PR
• Providers in Rio Piedras, PR by specialty
• Pediatrics Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2017; 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.