Individual provider Active NPI

Hermes G. Rosario Ortiz, PSY.D.

  • Clinical Psychologist
  • Aguada, PR
National Provider Identifier
1316284169
Registry record updated Apr 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
004639 Issued in PR
Practice address
Carr. 417 KM 2.7 Bo Malpaso
Edif. Carribean Office Park
Aguada, PR 00602
Phone
(787) 868-1828
NPI assigned
Jan 14, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 004639 PR Primary

Addresses

Primary practice location

Carr. 417 KM 2.7 Bo Malpaso
Edif. Carribean Office Park
Aguada, PR 00602

Mailing address

PO Box 1635
Aguadilla, PR 00605-1635
Phone (787) 244-1475

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
004639PRMDClinical Psychologist
4639PRMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Rosario Ortiz Mental Health Services PSC 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": "1358121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459555200000",
    "number": "1316284169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1635",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006051635",
            "telephone_number": "787-244-1475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 417 KM 2.7 BO MALPASO",
            "address_2": "EDIF. CARRIBEAN OFFICE PARK",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "00602",
            "telephone_number": "787-868-1828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSARIO ORTIZ",
        "first_name": "HERMES",
        "middle_name": "G.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-14",
        "last_updated": "2016-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "004639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguada, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2016; 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.