Individual provider Active NPI

Jorge H Gutierrez-Dorrington, MD

  • Ophthalmology Physician
  • Ponce, PR
National Provider Identifier
1316067200
Registry record updated Jun 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
11622 Issued in PR
Practice address
613 Ave Tito Castro Ste 101
Ponce, PR 00716-0206
Phone
(787) 842-2512
Fax
(787) 840-6966
NPI assigned
Apr 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 11622 PR Primary

Addresses

Primary practice location

613 Ave Tito Castro Ste 101
Ponce, PR 00716-0206

Mailing address

PO Box 801089
Coto Laurel, PR 00780-1089
Phone (787) 842-2512

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
I20050425000707 PR Practitioner - Ophthalmology 3072551548 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Tufts University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

909 Ave Tito Castro
Ponce, PR 00716-4728
Phone (787) 842-2512

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery94

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Retina Consultants PSC Ophthalmology CurrentSince May 20, 2004 Accepting new patients

Locations

909 Ave Tito Castro
Ste 709
Ponce, PR 00716
Phone (787) 842-2512

Interoperability endpoints

  • Direct secure messaging: jgutierrezdorrington@srcmd.direct.eyemdemr.com

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559606400000",
    "number": "1316067200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 801089",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "007801089",
            "telephone_number": "787-842-2512",
            "fax_number": "787-840-6966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 AVE TITO CASTRO STE 101",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007160206",
            "telephone_number": "787-842-2512",
            "fax_number": "787-840-6966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ-DORRINGTON",
        "first_name": "JORGE",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-02",
        "last_updated": "2019-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PR",
            "license": "11622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.