Individual provider Active NPI

Luis J Ortiz Rivera, MD

  • General Practice Physician
  • Carolina, PR
National Provider Identifier
1295838209
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
2652 Issued in PR
Practice address
Calle 266 PB #30
Country Club
Carolina, PR 00982-0220
Phone
(787) 769-7525
Fax
(787) 769-2428
NPI assigned
Sep 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 2652 PR Primary

Addresses

Primary practice location

Calle 266 PB #30
Country Club
Carolina, PR 00982-0220

Mailing address

#3205 Ave Isla Verde
Condo Galaxy #904
Carolina, PR 00979-4990
Phone (787) 728-2984

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2652PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care and More LLC Past Accepting new patients

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": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295838209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "#3205 AVE ISLA VERDE",
            "address_2": "CONDO GALAXY #904",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009794990",
            "telephone_number": "787-728-2984",
            "fax_number": "787-769-2428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE 266 PB #30",
            "address_2": "COUNTRY CLUB",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009820220",
            "telephone_number": "787-769-7525",
            "fax_number": "787-769-2428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ RIVERA",
        "first_name": "LUIS",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "2652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.